Application

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

$45.00

Sustaining Member

$50.00

$55.00

Patron Member

$55.00

$60.00

Leadershiip Member

$100.00

$100.00

 Name ___________________________________________________________

 Address _________________________________________________________

 ________________________________________________________________

 ________________________________________________________________

 Applicant's Signature ________________________________________________