Membership Application

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An option to receive the newsletter by mail is available for an additional fee. To receive your newsletter by mail or to join by paying with a check or money order, download and complete this membership application.

Personal Info

First Name *

Last Name *

Telephone

Email Address *

Interested in collecting:

Disney, Goebel, animals, etc. - limited to 36 characters

Associate Members

I have at least one associate member living at my address who I would like to include in my membership at an additional cost of $5 per person.

How Many?

Associate Member #1

First Name *

Last Name *

Telephone

Email address *

Interested in collecting

Disney, Goebel, animals, etc. - limited to 36 characters

Associate Member #2

First Name *

Last Name *

Telephone

Email address *

Interested in collecting

Disney, Goebel, animals, etc. - limited to 36 characters

Associate Member #3

First Name *

Last Name *

Telephone

Email address *

Interested in collecting

Disney, Goebel, animals, etc. - limited to 36 characters

Address

Address Line 1 *

Address Line 2

City *

State/Province/Region *

ZIP/Postal Code *

Country *

Dues Options

Membership dues are based on 1 calendar year. If you would like to purchase a membership for longer, please select the 2 year option below.

I want to purchase a 2-year membership

Additional Information

How do you want to receive your Membership Roster?

How do you want to receive the Membership Roster?

For contest purposes, are you a dealer? *

Yes

A dealer is someone who sells regularly on eBay, at a mall, a shop or a home business, sets up at shows, etc.

I was referred by:

Comments

Membership Application

Personal Info

Associate Member #1

Associate Member #2

Associate Member #3

Address

Dues Options

Additional Information

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