| Applying For: |
[ ]Regular
Member |
[ ]Life Member |
[ ]Associate Member (Spouse or child under age 18 of a
current APS member living at same address) |
| _____________ Mr., Mrs., Other |
________________________________ First Name |
_________ Middle Initial |
____________________________________ Last Name |
| _______________________________________________________________________________________________ Address |
| _________________________________________________________ City |
_________ State |
_________________________ ZIP Code |
| __ __ __ - __ __ __ - __ __ __ __ Daytime Phone |
__ __ __ - __ __ __ - __ __ __ __ Fax |
| __________________________________________ |
__________________________________________ Website |
Date of Birth __ __ - __ __ - __ __ Month Day Year |
| _____________________________________ Occupation |
_________________________________________________ Major Stamp Collecting Interests |
I authorize you to verify the commercial reference listed
below, and, if necessary, to obtain a current credit report upon receipt of this
application. I agree to abide by the Philatelic Code of Ethics and agree to be
bound by all rules and regulations of the Society and its bylaws. I understand
notice of applications for membership is published in The American
Philatelist. Please provide a current Visa or MasterCard account number and
expiration date or the name and address of another commercial reference (a
company or stamp dealer with whom you do business, or your employer,
etc.)| ________________________________________________________ Visa, MasterCard, or other Commercial Reference |
__ __ __ __ __ __ __ __ __ __ __ __ __ __
__ __ Account Number |
__ __ - __ __ Expiration Date |
__ __ __ Last 3 digits on back of card |
| _________________________________________________________________________________________________ Mailing Address for Commercial Reference (not necessary for Visa or MasterCard accounts) |
| ________________________________________________ Signature of Applicant |
________________________________________________ Signature Parent/Guardian (required for applicants under age 18) |
| _Daniel J McAdam_______________________________________________ Name of Proposer |
__187260______________________________________________ Proposer's APS Number (W) |
The initial membership fees are prorated so that applicants do not pay
for the quarter in which their applications are submitted. Memberships renew at
the beginning of each calendar year. A one-time $3 admission fee is included in
the fee schedule and fifty percent of dues is allocated to the Society's monthly
journal, The American Philatelist. A spouse, or dependent under 18, of
a current regular APS member living at the same address may apply for Associate
membership that does not include a separate additional magazine subscription.
All fees are listed in US dollar amounts.
| ----------------TOTAL TO REMIT---------------- | ||||||||
|---|---|---|---|---|---|---|---|---|
| Date Application received at APS National Headquarters |
U.S. |
Canada |
Other Countries |
Associate | ||||
| October, November, December (fee pays for next full year) |
$38.00 |
|
$41.00 |
|
$48.00 |
|
$20.50 | |
| January, February, March* |
29.25 |
|
31.50 |
|
36.75 |
|
16.00 | |
| April, May June* |
20.50 |
|
22.00 |
|
25.50 |
|
11.75 | |
| July, August, September* |
11.75 |
|
12.50 |
|
14.25 |
|
7.25 | |
| Life Membership |
|
|
|
|
|
| ||
| Age 18 through 39 |
1,150.00 |
|
1,225.00 |
|
1,375.00 |
|
- | |
| Age 40 through 54 |
985.00 |
|
1,050.00 |
|
1,200.00 |
|
- | |
| Age 55 through 64 |
825.00 |
|
900.00 |
|
1,025.00 |
|
- | |
| Age 65 and older |
575.00 |
|
625.00 |
|
750.00 |
|
- | |
| *fee pays for balance of current year |
|
|
|
|
|
|
| |
Payable in US or equivalent Canadian dollars, checks must be drawn on a
US or Canadian bank made payable to the American Philatelic Society. If you
provided a Visa or MasterCard account number as a commercial reference and also
wish to charge your membership fee to that account, enter the amount to charge
and sign below.
| $__________ |
[ ] Check |
[ ] Money Order |
[ ] Visa |
[ ] MasterCard |
___________________________________ Signature of Cardholder |