| Applying For: | [ ]Regular Member | [ ]Life Member | [ ]Associate Member (Spouse or child under age 18 of a current APS member living at same address) |
| _____________ Mr., Mrs., Other |
________________________________ First Name | _________ Middle Initial |
____________________________________ Last Name |
| _______________________________________________________________________________________________ Address |
| _________________________________________________________ City | _________ State | _________________________ ZIP Code |
| __ __ __ - __ __ - __ __ __ __ Social Security Number |
__ __ __ - __ __ __ - __ __ __ __ Daytime Phone | __ __ __ - __ __ __ - __ __ __ __ Fax |
| __________________________________________ | __________________________________________ Website |
Date of Birth __ __ - __ __ - __ __ Month Day Year |
| _____________________________________ Occupation | _________________________________________________ Major Stamp Collecting Interests |
I authorize you to verify the commercial reference listed below, and, if necessary,
to obtain a current credit report upon receipt of this application. I agree to
abide by the Philatelic Code of Ethics and agree to be bound by all rules and
regulations of the Society and its bylaws. I understand notice of applications
for membership is published in The American Philatelist. Please provide
a current Visa or MasterCard account number and expiration date or the name and
address of another commercial reference (a company or stamp dealer with whom you
do business, or your employer, etc.)| __________________________________________________________ Visa, MasterCard, or other Commercial Reference |
__ __ __ __ __ __ __ __ __ __ __ __ __
__ __ __
Account Number |
__ __ - __ __
Expiration Date |
__ __ __
Last 3 digits on back of card |
| _________________________________________________________________________________________________ Mailing Address for Commercial Reference (not necessary for Visa or MasterCard accounts) |
| ________________________________________________ Signature of Applicant | ________________________________________________ Signature Parent/Guardian (required for applicants under age 18) |
| ________________________________________________ Name of Proposer (optional) | ________________________________________________ Proposer's APS Number (W) |
The
initial membership fees are prorated so that applicants do not pay for the quarter
in which their applications are submitted. Memberships renew at the beginning
of each calendar year. A one-time $3 admission fee is included in the fee schedule
and fifty percent of dues is allocated to the Society's monthly journal, The
American Philatelist. A spouse, or dependent under 18, of a current regular
APS member living at the same address may apply for Associate membership that
does not include a separate additional magazine subscription. All fees are listed
in US dollar amounts.
| ----------------TOTAL TO REMIT---------------- | ||||||||
|---|---|---|---|---|---|---|---|---|
| Date Application received at APS National Headquarters | U.S. | Canada | Other Countries | Associate | ||||
| October, November, December (fee pays for next full year) |
$33.00
|
$36.00
|
$43.00
|
$ 18.00
| ||||
| January, February, March* |
25.50
|
27.75
|
33.00
|
14.25
| ||||
| April, May June* |
18.00
|
19.50
|
23.00
|
10.50
| ||||
| July, August, September* |
10.50
|
11.25
|
13.00
|
6.75
| ||||
| Life Membership |
|
| ||||||
| Age 18 through 39 |
995.00
|
1,050.00
|
1,195.00
|
-
| ||||
| Age 40 through 54 |
845.00
|
900.00
|
1,035.00
|
-
| ||||
| Age 55 through 64 |
715.00
|
770.00
|
880.00
|
-
| ||||
| Age 65 and older |
495.00
|
545.00
|
645.00
|
-
| ||||
| *fee pays for balance of current year | ||||||||
Payable
in US or equivalent Canadian dollars, checks must be drawn on a US or Canadian
bank made payable to the American Philatelic Society. If you provided a Visa or
MasterCard account number as a commercial reference and also wish to charge your
membership fee to that account, enter the amount to charge and sign below.
| $__________ | [ ] Check | [ ] Money Order | [ ] Visa | [ ] MasterCard | ___________________________________ Signature of Cardholder |