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Membership
Form
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Mail your Payment... |
 |
Please PRINT THIS FORM
Send w/US
bank cashier, Personal check, or US Postal money order to:
Thimble Collectors
International
TCI Membership Chairperson
43 Aldrich Avenue,
Binghampton,
NY 13903 USA
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Membership Type |
Annual Membership |
Number of
Memberships |
|
Total |
|
US |
$25.00 |
|
= |
$ |
|
International |
$30.00
|
|
= |
|
| |
Total of
Membership Fees: |
$ |
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Name
_________________________________________________________ |
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Address
_______________________________________________________ |
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City & State
____________________________________________________ |
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Zip Code
____________ Email Address
___________________________ |
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Country
__________________ Telephone __________________________ |
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Signature
___________________________________ Date _____________ |
Do we have
your permission to print the above information in the Membership
Directory?
(We do not share your information with anyone)
Please
circle one: Yes
No
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