Anchorage Philatelic Society

Membership Application

Name:_______________________________________ Age: _____________

                                                                                                  (if 18 or under)

Mailing address:_________________________________________________

 City                    _________________________________________________

State ______________________  Zip+4 _____________________

Phone home ____________________ work____________________

Email address _________________________________________________

Philatelic Collecting Interests: ______________________________________

______________________________________________________________

______________________________________________________________

American Philatelic Society Member? _____ APS # ____________________

Membership in other Philatelic Organizations: _________________________

______________________________________________________________

______________________________________________________________

If accepted into membership, I will abide by the by-laws of the Anchorage Philatelic Society.

Signature _________________________________

Parent or guardian for Juniors _________________________________

Dues                                                                        Mail to:

Juniors $  2.00                                                      Anchorage Philatelic Society

Regular $10.00                                                      P.O. Box 10-2214

Family $15.00                                                        Anchorage, AK 99510-2214