Membership print

Please PRINT THIS FORM Send with US bank cashier, Personal check, or US Postal money order.
Membership Type	Annual Membership	Number of Memberships	=	TOTAL
US	$35.00		=	$
International	$40.00		=	$
Total Membership Fees				$

Name _________________________________________________________

Address _______________________________________________________

City & State ____________________________________________________

Zip Code ____________ Email Address ___________________________

Country __________________ Telephone __________________________

Signature ___________________________________ Date _____________

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	Please mail this form with your check or money order to: Thimble Collectors International TCI Membership Chairperson 3997 Gumwood Court Chantilly, VA 20151-2601


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