MEMBERSHIP APPLICATION FORM

For US and international subscriptions:
Don Brent
Executive Secretary, SCC
PO BOX 13196
El Cajon, CA 92020

The preferred method of payment is US funds by check or money order, or (for international subscribers only): PayPal or Visa/MasterCard.

For Canadian subscriptions:
Robert Zacharias,
808 Polson Ave,
Winnipeg, MB R2X 1M5

Canadian membership costs (CDN)$26 yearly. Robert can put Canadians on the mailing list for circuit books -- please ask.

FILL OUT AND SEND THE SECTION BELOW

SCANDINAVIAN COLLECTORS CLUB MEMBERSHIP APPLICATION

I hereby apply for membership in the Scandinavian Collectors Club and enclose $_____ in payment of my admission fee, dues and subscription to The Posthorn, based on the remittance schedule below. I understand that my remittance will be returned in full if my application is not accepted. I also understand that any donation above the calculated amount from the remittance schedule is tax deductible in the United States.

Name:
Address:
City:                            State:                          ZIP or Postal Code:                  Country:
Telephone:                                   Fax:                                                 E-mail:

Check here if you DO NOT WANT your address disclosed: (    )

Please provide names and addresses for the following:
Personal Reference:



Philatelic Reference:



If under 21, a parent or guardian, with signature:

SCC Sponsor, if any, and number, if known:

Applicant's signature and date:

I belong to the following Philatelic Societies and have listed my member numbers:



Have you ever been expelled from any philatelic society?

Please prioritize your philatelic collecting interests:
1.

2.

3.

4.

5.

Membership Fee Schedule, US Funds
(The following schedules provide for 12 month and 18 month memberships)

NORTH AMERICAN APPLICANTS (EXCEPT CANADA)

APPLICANTS OUTSIDE NORTH AMERICA

OR CHOOSE LIFE MEMBERSHIP FOR $500.00

PAYMENT INFORMATION

The preferred method of payment is US funds, by check or money order, or (for international subscribers only): PayPal or Visa/MasterCard. On checks and money orders, please make payable to Scandinavian Collectors Club

Check enclosed ______ , Bill me by PayPal ______ OR Credit Card _______ (check one)

(Credit card and PayPal for international subscribers only, please.)

Your email address (for PayPal):

Credit Card Information

Type of Card:                        Number:                                                         Exp date:

3 Digit Verification Number:

Name on card:

Return to Membership Page

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© 2007, The Scandinavian Collectors Club
 John DuBois, Webmasters
2007.11.19