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: __________