APPLICATION FOR MEMBERSHIP IN THE
NORTHWEST TOKEN & MEDAL SOCIETY, INC.
Please print & complete this form -- Mail to: Secretary, NWTAMS, INC., P.O. BOX 1365, OCEAN SHORES, WA 98569-1365
SELECT
MEMBERSHIP OPTION
(Please make
your check payable to NWTAMS, Inc. Our Club year runs from July
1st to June 30th)
NAME___________________________________________________PHONE_________________________
(If Family please
list names)__________________________________________________________________
ADDRESS________________________________________________________________________________
CITY _____________________________________________________________
STATE/COUNTRY___________________________________________ZIP
+ 4_____________________
E-MAIL ADDRESS ________________________________________________
_____YES! PLEASE SEND MY NEWSLETTER VIA E-MAIL, THANKS.
E-BAY SELLER ID__________________________________________(Optional)
|
Washington
State Trade Tokens by Al
Erickson 606
pages (1998) $50 postpaid in |
I (we) agree,
by my signature, to abide by the Constitution and Bylaws of the Northwest
Token and Medal Society, Inc., and it's Code of Ethics.
Signed______________________________________________________________Date__________________
(Privacy
statement: Information provided on this application is never sold or
distributed to any other organization, agency, service or business! Directory
information may be provided to members only and restricted to name, collecting
interests, email address and/or phone number. Check here if you do not wish to
be listed in the member directory )