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ANA MEMBERSHIP APPLICATION FORM |
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YES, I want to be part of America's Coin Club. I understand that I will
receive the Association's monthly magazine The Numismatist; have access
to 30,000 books in the world's largest numismatic lending library; will be
eligible for discounts on numismatic books; and obtain dozens of other exclusive
member benefits.
| Name: | ____________________ |
| Address: |
____________________ ____________________ |
| City: | ____________________ |
| State: | __________ |
| Zip: | __________ |
| Country: | __________ |
| Postal Code: | __________ |
| E-Mail: | ___________________ |
| Birth date (MM-DD-YEAR) | ___/___/_____ |
| Type of membership (select one): |
_____ Regular $36 (US - 1 year) _____ Regular $48 (Foreign - US funds - 1 year) _____ Junior $20 17 years or younger (US - 1 year) _____ Senior $31 (US - Age 65 or older - 1 year) _____ Senior $43 (Foreign - US funds - Age 65 or older - 1 year) _____ Regular $102 (US - 3 year) _____ Regular $165 (US - 5 year) _____ Life $1000 |
*Annual membership dues (with the exception of Associate membership) include
$20 for a one-year subscription to The Numismatist.
| To join by credit card: | |
| Please charge my membership dues of $__________ | |
| Credit Card Type: |
_____ Visa _____ MasterCard _____ Discover Card _____ American Express |
| Credit Card No. (all digits): | ____________________ |
| Expiration Date (MMYY): | ____/____ |
| Signature: | ____________________ |
Periodically, the ANA's mailing list is sold or provided to third parties. If
you do not want your information provided to such parties for non-ANA related
mailings, please check here. ______.
(Previous requests not to provide your information will continue to be
honored.)
Promotion Code _LM-702
I herewith make application for membership in the American Numismatic
Association, subject to the Bylaws of said Association. I also agree to abide
by the Code of Ethics adopted by the Association.
Primary Sponsor Joel D Rettew ANA Life Member #702
Secondary Sponsor Joel D Rettew ANA Life Member #702
Mail or Fax your application to:
American Numismatic Association
818 North Cascade Avenue
Colorado Springs, CO 80903
Fax: 719-634-4085
