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Yearly Membership Application

Instructions:
Fill out this form or download a .pdf copy here. You can print this screen using the print button on the menu bar of your browser or print out the .pdf copy. Then mail it with payment to:

Ben Wallace

24917 Hazelmere Road

Beachwood, OH 44122-3238


To the Treasurer, S.I.P.:
I hereby apply for membership in the Society of Israel Philatelists, Inc. and enclose the amount of $
(see dues chart below) in U.S. funds for dues and subscription to "THE ISRAEL PHILATELIST."

Name:
Address 1:
Address 2:
City: State/Prov:
Country: ZIP/Postal Code:

Please provide APS number or 2 commercial references:
Reference 1:
Reference 2:
Signature:
JUNIOR MEMBERSHIP (Under 18 years old)
Age:  Birthdate:  Parent Signature: 

Applications submitted between January 1 and June 30 must be accompanied by a full year's dies. Those submitted between July 1 and December 31 must be accompanied by one and a half (1-1/2) year's dues.
USA CAN/MEX ALL OTHERS
Member Junior Senior Senior
Annual Dues $25.00 $12.00 $29.00 $38.00
1-1/2 Years Dues $37.50 $18.00 $43.50 $57.00
PAYMENT BY CHECK MUST BE IN U.S. FUNDS AND PAYABLE ON A U.S. BANK
This application is accepted subject to review and acceptance or rejection in accordance with the Constitution and By-Laws of the Society. "Notice of applications for membership is published in our bimonthly magazine, THE ISRAEL PHILATELIST, and consdieration of applications is made thirty days after publication of the names."

Recommended by:   

S.I.P. No: 




The Society of Israel Philatelists

The israel Philatelist is the Society's bi-monthly journal.

 

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