Fun Philately Stamp Club

Application Form

Name: _________________________________

Address: _______________________________

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_______________________________

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Date of Birth: ______________ Age: _________

Collecting Interests: _______________________

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 Signature: ______________________________

Date: ___________________

Please remember to enclose your $10-00 Subscription

and Post to:

Fun Philately Stamp Club

PO Box 2979

Auckland

New Zealand

Only applications from New Zealand residents will be accepted.