Fun Philately Stamp Club

Application Form

Name: _________________________________

Address: _______________________________

_______________________________

_______________________________

_______________________________

Date of Birth: ______________ Age: _________

Collecting Interests: _______________________

______________________________________

______________________________________

______________________________________

 Signature: ______________________________

Date: ___________________

Please remember to enclose your $10-00 Subscription

and Post to:

                   Fun Philately Stamp Club

                   PO Box 2979

                   Auckland 1140

                   New Zealand

Only applications from New Zealand residents will be accepted.