FRANCE AND
COLONIES PHILATELIC SOCIETY, INC.
MEMBERSHIP
APPLICATION
I
hereby apply for membership in the France & Colonies Philatelic Society,
Inc., and enclose dues for the first year, as indicated:
|
_ _ _ _ _ |
Resident of the United
States
|
$20.00 |
|
_ _ _ _ _ |
Resident of any other
Country
|
$25.00 |
Please supply the following information for the Membership Committee and complete the Speciality Questionaire on the reverse side of this form for listing in the PHILATLEIST.
NAME____________________________________________ AGE ________
ADDRESS
____________________________________________________________
CITY
_______________________________ STATE________________________
POSTAL
CODE ______________________ COUNTRY
_____________________
TELEPHONE
________________________ e-mail
_________________________
Membership in other
philatelic groups:
Organization
______________________________
Membership No. _____________
Organization ______________________________ Membership No. _____________
Reference (Stamp dealer;
other FCPS member, etc.)
NAME
______________________________________________________________
ADDRESS
___________________________________________________________
From whom did you learn
about the FCPS? ________________________________________
Payment by residents of the United States is to be made in U.S. dollars via a check drawn on a U.S. bank or via a U.S. Postal Money Order. Foreign memberships can be paid via an International Money Order. Payment in foreign currency must include the equivalent of U.S. $10.00 extra per transaction to cover the conversion to U.S. funds.
Pay To: FRANCE
AND COLONIES PHILATELIC SOCIETY, INC.
Mail To: Joel
L. Bromberg
P.O. Box 102
Brooklyn, New York 11209-0102
USA