Bermuda Collectors Society
c/o Thomas McMahon, Secretary
P. O. Box 1949
Stuart FL 34995
Membership Application
(Please Print Clearly)
Name_____________________________________________________________
Address__________________________________________________________
_________________________________________________________________
City_____________________________________________________________
State/Country_____________________________ZIP____________________
Telephone________________________________________________________
FAX Number_______________________________________________________
Email____________________________________________________________
Dues:
In the United States $22.00
Outside the United States $27.00
Africa & Far East $30.00
Initial Dues payable in U. S. Dollars only.
Do you have a computer? O Yes O No
If No, are you planning on one? O Yes O No
Do you use the Internet? O Yes O No
___ Name Only - do not publish address in annual directory.
Sponsor (optional)_______________________________________________
Other Memberships________________________________________________
All membership conditional until 60 days after publication of name.