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NEW ENGLAND NUMISMATIC ASSOCIATION
MEMBERSHIP APPLICATION
(please print clearly)
NAME: _______________________________________ DATE:_________________
ADDRESS: __________________________________________________________
CITY: __________________________ STATE: _________ ZIP: _________________
NUMISMATIC INTERESTS: ______________________________________________
ANA NUMBER: ____________ OTHER AFFILIATIONS: ________________________
APPLICANT'S SIGNATURE: _____________________________________________
| Dues per |
___ $15.00 Regular Membership |
| calendar year |
___ $200 Regular Life Membership |
(Check One)
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___ $5.00 Junior Membership (under 18)
Date of birth: _______________ |
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___ $15.00 Club Membership |
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___ $200 Regular Club Lifetime Membership |
Send completed application and a check payable to NENA to:
NENA
P.O. Box 2061
Woburn, MA. 01888
NENA News, a quarterly publication of the New England Numismatic Association is included with membership.
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Membership Application
