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Sierra-Diablo
Matchcover Club
Membership
Application |
Name:_____________________________
Telephone:__________________
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E-mail:_________________ (required, since bulletin, auction,
roster are on-line) |
Address:_____________________________________________________
The following information is requested
so that we have an idea of each member's collecting categories
to be included in the our membership listing.
General Collector________(yes)___________(no)
Favorite categories...
1.___________________ 2._________________
3.___________________
4.___________________ 5._________________
6.___________________
- Annual dues: $5 (e-bulletin);
or $10 hard copy (individual), $15 (family-submit all names),
$15 (Canada/Mexico), or $20 (outside N. America). Dues go from
April 1st to March 31st
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- I enclose payment of $________for______memberships.
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- Birthdate (month/day):____________________
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- Signature:__________________
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- Please send application and dues
to: Jack Benbrook, 1328 E. Rossier St., Prescott, AZ 86301 (E-mail:
fi8cus@cableone.net).....
- AND WELCOME TO SIERRA-Diablo and a great hobby!
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