SPMC MEMBERSHIP APPLICATION   
(Print or Type)
Check One:      q Regular, 18 or Older     q Junior, 12–18 years

Name ____________________________________________Occupation_______________________________

Address__________________________________________________________________________________
                  Street                                                                            City                                    State          Zip

Company_____________________________________   CHECK ONE:   q Collector    q Dealer    q Both

Signature ________________________________________________________________________________

Signature of Parent or Guardian of Junior_________________________________________________________

Paper Money Specialties _____________________________________________________________________

Do you wish to have your name and address published in the magazine as a new member, listing your collecting interests?
 q Yes q No

SPMC Sponsor:  MARK WARD #9935

Dues: $30.00 per year — $600.00 Life Membership — Canada & Mexico $45.00 per year — Canada & Mexico Life Membership $700.00
Foreign $40.00 per year — Foreign Life Membership $800.00. Dues payable in U.S. funds. Make remittance payable to SPMC