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.

===========================================================================

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
Home
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.