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Membership Application

 

Print this application form and mail to the President
Merle Farrington
10 Clark Street
Medway, MA 02053

 

I hereby apply for membership in Old World Archaeological Study Unit. Dues are enclosed with a completed application form. (Please print or type information)

 

Name: ____________________________________________ Age: ____________

Address: __________________________________________________________

City: __________________________________ State: _______ Zip: ___________

Country: ________________________ Occupation: ________________________

Phone: (______) __________________ E-Mail: ___________________________

Collecting Interests: _________________________________________________

Annual Dues: Domestic - $15.00 ________ International (airmail) - $23.00 _______

Membership#: APS __________ ATA __________ Other:_____________________

Do you have any special abilities that might help us? (ie. willing to write articles, translate philatelic or thematic text from languages other than English into English for OWASU members?) _______________________________________________

Do you mind sharing your name, address or e-mail address with members? ______

Signature: _________________________________ Date: ___________________

 

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