Application to join the American Philatelic Congress

Print this application, fill it out and mail with appropriate fees to:

Ross A Towle, Secretary Treasurer, 400 Clayton Street, San Francisco, CA 94117-1912 USA

 I have enclosed the annual dues of: (please circle)

 (Please make checks payable to American Philatelic Congress, Inc.)

Type of Membership	USA Resident	Outside USA
Active Member	$40.00	$50.00
Sustaining Member	$50.00	$60.00
Patron Member	$55.00	$65.00

 Name ___________________________________________________________

 Address _________________________________________________________

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 Applicant's Signature ________________________________________________