Application for Membership

Downloadable form in pdf format click here - requires Adobe Acrobat Reader

Dues are US$10.00 per year, January 1 through December 31.

Members joining after January 1 will receive all bulletins for the year.

Date of Application ______________

Name ___________________________________________________________

Address _________________________________________________________

City _______________________________ State _________ Zip _____________

Telephone _____________________ E-mail ____________________________

Membership of Other Philatelic Organizations ____________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________

Areas of Specialization and High Interest
(to go in MAPS Bulletin on acceptance of application

________________________________________________________________

________________________________________________________________

________________________________________________________________

Where/how did you hear about MAPS? __________________________________

Signature ___________________________

Please print out (about 80% size recommemded), fill in and send completed application
form with payment of annual dues (US$10) to:

J.L. Johnson Jr.
248 Shore Avenue
Groton, CT 06340-5926
U.S.A.