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Collecting Czechoslovakia
articles on collecting stamps

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fun stamp stories

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For a printable copy of this applications, please download the pdf file.

Application for Membership

Date: ______________________

To: Phil Rhoade , Secretary
28168 Cedar Trail
Cleveland, MN 56017

I hereby apply for membership in the Society for Czechoslovak Philately, Inc. and , if approved, agree to abide by the Society's By-Laws. (Check one of the following):

	$18.00 for annual dues ~ Regular Membership. This includes a one-year subscription to the Czechoslovak Specialist.
	40.00 for annual dues ~ Patron Membership. This includes a one-year subscription to the Czechoslovak Specialist and a bound volume of all issues for the subscription year.
	$3.00 for annual dues ~ Youth Membership. Limited to persons under 18 years of age (please list Date of Birth)
	Additional contribution

Foreign members residing outside the US, please add:

	$5.00 for surface mailing
	$15.00 for airmail delivery

Total enclosed: ____________________

Remit by check or money order only. DO NOT send cash or stamps.

Name: ___________________________ Age: ______

Street: ____________________________________ Fax: ___________________

City: ___________________________ State: ____________ Zip: ________________

Telephone: __________________________ Email: ____________________________

Collecting Interests: __________________________________________________________

Membership in other societies: __________________________________________________

___________________________________________________________________________

How did you find out about SCP?: ________________________________________________

Applicant Signature: ____________________________________________