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