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Antique Telephone Collectors
Association |
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Antique Telephone Collectors
Association |
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The annual dues are as follows:
| $35 Renewal
for all members who already have an ATCA membership number $35 annual membership for New Members who never had an ATCA membership number (or $3 per month from March until December). $10 Spousal associate member $10 Student (under 18 yrs) member |
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I, the undersigned, hereby make application for membership in the ANTIQUE
TELEPHONE COLLECTORS ASSOCIATION and agree to uphold the rules, regulations and
By-Laws of the Association. Dues are paid on a calendar
basis January through December.
NAME___________________________________________________________________
ADDRESS________________________________________________________________
CITY,STATE,COUNTRY,ZIP_________________________________________________
PHONE NUMBER_________________________________ (to be included on membership list)
E-MAIL ADDRESS___________________________________________________________
Date of Birth IF applying for student membership (month __________________)
(year ___________)
How did you learn about ATCA? _______________________________________________________________________________________________
Signature ____________________________________
IF New member, please check here
.
IF a current or former member, please check here
and include your ATCA membership
number here ______________.
I am willing to have my name placed
on the ballot as an ATCA officer.
ATCA is a 501(c)3 non profit
organization. I would like to make a tax exempt donation of $
___________
Enclosed is my check or money order in the amount of $__________.
Please print form and send to: |
