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Life Membership Application

Instructions:
Fill out this form and then print it using the print button on the menu bar of your browser. Then mail it with payment to:

Remey Rubin
PO Box 584
South Haven, MI 49090

newgriz@aol.com


Application is hereby made for Life Membership in the Society. Life membership dues are as follows:
USA $400.00  Canada & Mexico $470.00  All Others $570.00
I am enclosing the proper full payment, or an initial installment of at least one-third(1/3). It is understood that the balance due shall be paid in maximum of two annual installments, each due on the anniversary date of this application.

In the event of delinquency, it is understood that the By-Laws of the Society will apply and at the option of the Society, this application may be terminated. Payments made toward Life Membership are not refundable.

Signature: Date:
Amount $:
Name: Email:
Address:
City: State/Prov:
Country: ZIP/Post Code:
SIP #:


PAYMENT BY CHECK MUST BE IN U.S. FUNDS AND PAYABLE ON A U.S. BANK



The Society of Israel Philatelists

Use the Trade link to buy, sell and trade your philatelic material.

 

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