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___ Name Only - do not publish address in annual directory.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.
All members are expected to abide by the APS Code of Ethics. All subscriptions start with the December Issue.
This application form should be printed out and submitted along with your check.
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