Membership

Print this application form and mail to the President
Merle Farrington
10 Clark Street
Medway, MA 02053

I hereby apply for membership in Old World Archaeological Study Unit. Dues are enclosed with a completed application form. (Please print or type information)

Name: ____________________________________________

Age: ____________

Address: __________________________________________

City: ________________________ State: _______

Zip: ___________

Country: ___________________________

Occupation: ________________________

Phone: (____) _______________________

E-Mail: __________________________________

Collecting Interests: _________________________________________________

Annual Dues: Domestic – $20.00 ________

Canada / International (airmail) – $28.00 _______

PDF Only – $10.00 _________

Membership#: APS __________ ATA __________

Other Memberships: __________________________

Do you have any special abilities that might help us? (ie. willing to write articles, translate philatelic or thematic text from languages other than English into English for OWASU members?) _______________________________________________

Do you mind sharing your name, address or e-mail address with members? ______

Signature: _____________________ Date: __________

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