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Email Us:   stampandcoin@hotmail.com

 

Our mailing address is:

FLAGLER COUNTY STAMP & COIN CLUB

P O Box 351355

Palm Coast FL 32135-1355

 

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APPLICATION FOR MEMBERSHIP

 

DATE_______________                                                                                                                       NUMBER_____________________

I hereby apply for membership in the above club, subject to the bylaws of the organization.

NAME___________________________________________________________Birth Month___________________

MAILING ADDRESS_____________________________________________________________________________

________________________________________________________________PHONE______________________

 

E-MAIL ADDRESS_______________________________________________________________________________

Address and phone number above may_____May Not______be shared.

Occupation____________________________________________________________________________________

Collecting Interests_______________________________________________________________________________

Membership in other stamp or coin clubs or societies Y_____N_____

APS#/ANA# (if applicable) ______________________________

Have you ever been expelled from, or denied admission to any philatelic or numismatics organizations?_____________________

Signature of Applicant_____________________________________________________________________________

_____________________________________________________________________________________________

$20.00 initial joining membership fee, includes first year membership

$20.00 Yearly membership dues thereafter.