VENTURA COUNTY PHILATELIC SOCIETY
Founded 1928 APS Chapter 0535 APS Member No. 143840 Charter Member FPCSC
P. O. Box 7042, Ventura, CA 93006-7042
Internet WebSite: www.vcphilatelic.com
APPLICATION FOR MEMBERSHIP
(Copy and paste this to your word processor and print it out)
VCPS MEMBERSHIP FOR THE CALENDAR YEAR 20____.
(VCPS Dues are: Regular - $25.00; Spouse - $12.50; Junior [under 18] - $12.50).
My dues payment of $________ is enclosed. Check No._______ Cash Date:__________
Make checks payable to: Ventura County Philatelic Society, and mail with this application
to the secretary at the above address or bring to any meeting
Name: _____________________________ __Membership No. assigned:_________________
Mailing address: __________________________________________________
City: _______________________________State:_____Zip:_________-______
Phone:_________________________________
e-mail address:_____________________________ _______________________
The above information will be used in preparation of the annual VCPS roster
unless you indicate below that your address or phone number NOT be listed.
The names and VCPS numbers of ALL members will be include in the roster.
I wish that my address / phone no. NOT be listed in the VCPS roster.
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I agree to be bound by the By-laws of the VCPS.
Signature:______________________________________
To aid members in finding those with similar collecting interests, please list your
collecting interests:
__________________________________________________________
___________________________________________________________
Please list specialty societies that you belong to: National: APS ATA
Local area: CSC CVPS SVSC SBSC Other:_______________
Specialist societies: _______________________________________________________
______________________________________________________________________
Form Rev. 11/05/07
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To apply for membership just copy and paste the application below into your MS Word, fill it in,
print it out and mail it with your check to: VCPS, P. O. Box 7042, Ventura, CA 93006-7042.
We will be pleased to have you as a new member of the club.