Please print a copy of this Membership Application and mail completed form along with payment in full to the address above.
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Name : Spouse's Name : |
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Address : |
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City : State : Zipcode : |
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Telephone : Fax : |
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Email : Website : |
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Type of Lighters Collected : |
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Interested in : Trading ( ) Buying ( ) Selling ( ) All ( ) |
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Would you be interested in occasionally sending articles, Photos, or Information for Newsletters ? |
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Yes ( ) No ( ) |
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Other type Collections or Hobbies : |
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Please send a Photo of yourself and your collection for the Club Scrap Book |
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Do you want your phone, fax and email listed in the Membership roster ? Yes ( ) No ( ) |
Membership Dues included with application for : Overseas $47.00, U.S. & Canada $42.00, Senior (60+) $37.00, Jr. (16 and under) $27.00
Date:________________Signature_____________________________________
Since our memberships run from January to December, if you join after January, we prorate the dues. If you would like all the Newsletters for the year, pay the full amount. However, if you wish to begin with the next available Newsletter, pay according to the following chart.
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January - February |
Overseas |
$47.00 |
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U.S. & Canada |
$42.00 |
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Sr. Citizen (60 +) |
$37.00 |
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Jr. Citizen (16 & Under) |
$27.00 |
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March - April |
Overseas |
$39.20 |
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U.S. & Canada |
$35.00 |
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Sr. Citizen (60 +) |
$30.80 |
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Jr. Citizen (16 & Under) |
$22.50 |
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May - June |
Overseas |
$31.36 |
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U.S. & Canada |
$28.00 |
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Sr. Citizen |
$24.64 |
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Jr. Citizen |
$18.00 |
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July - August |
Overseas |
$23.52 |
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U.S. & Canada |
$21.00 |
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Sr. Citizen |
$18.48 |
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Jr. Citizen |
$13.50 |
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September - October |
Overseas |
$15.68 |
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U.S. & Canada |
$14.00 |
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Sr. Citizen |
$12.32 |
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Jr. Citizen |
$9.00 |
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November - December |
Overseas |
$7.84 |
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U.S. & Canada |
$7.00 |
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Sr. Citizen |
$6.16 |
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Jr. Citizen |
$4.50 |
