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CIVIL WAR PHILATELIC SOCIETY APPLICATION

I hereby submit my application in the Civil War Philatelic Society. If elected to membership, I agree to be bound by the Constitution and By-Laws of the Society. Membership includes a subscription to The Civil War Philatelist, published quarterly.

Key Account Information

Email*

Retype Email*

Password

Retype Password

About You - Please tell us about yourself

Salutation

First Name*

Middle Name or Initial

Last Name*

Organization

* Either Organization or Last Name is required

Email Alternate

Country

Address

Address line 2

City

State*

* State is required for all US Members

Zip+4 (Postal Code)*

* Zip Code is required for all US Members

Home Phone

Work Phone

Cell Phone

Age Verification - Are you 18 years of age or older?* Yes No

Guarantor*

If applicant is under age 18, please provide a Guarantor's name, full address, phone number(s), email and the relationship to the applicant. Guarantor shall be responsible for all debts incurred by Applicant to the Alliance or any of its members until Applicant reaches eighteen years of age.

Collecting Interests

If none, please put "none". (Please be as specific as possible, i.e., issues collected, plating, types of covers, cancellations, postal history, etc.)

Past Member* Yes No

Have you been a member of the CWPS in the past?

Previous CWPS Membership Number

If you were previously a CWPS Member, please provide your old CWPS membership number

I am a philatelic collector* Yes No

I am a philatelic dealer* Yes No

Your Memberships

APS Membership Number

If you are an APS Member, please provide your APS Membership Number

USPCS RA Number

If you are an USPCS Member, please provide your USPCS RA Number

USSS Membership Number

If you are an USSS Member, please provide your USSS Membership Number

ASDA Membership Number

If you are an ASDA Member, please provide your ASDA Membership Number

Other Philatelic Memberships and Member Numbers

Your References

Each applicant MUST provide two character references below (philatelic preferred, but not required). Full names, addresses and numbers should be given as all references will be contacted as required by our By-Laws. If the application is for a Junior Member, the GUARANTOR must provide references.

Reference One*

Reference Two*

To be completed by the Proposer (OPTIONAL)

I hereby endorse the above Applicant and propose for membership in the Civil War Philatelic Society (Proposer must not be one of the references above).

Proposed By

Proposer CWPS#

Please provide the CWPS Membership Number for the Proposer

Privacy Questions

Information about new members is published in the Civil War Philatelist as required by our By-Laws. If you do not wish to have your information published, please check the appropriate items below.

I authorize the Society to use the following personal information in print media:

Name private?* Public Private

Address private?* Public Private

Email private?* Public Private

Photos private?* Public Private

Membership Details

Membership Fee Schedule

PLEASE ALLOW 4 – 6 WEEKS FOR THE APPLICATION TO BE PROCESSED. PLEASE REMIT AMOUNT INDICATED BELOW WITH YOUR APPLICATION.

Regular Membership (US, CA and MX): $32.00/year
Junior Membership: $18.00/year
Overseas Members: Plus $24.00/year

NOTE: Applicants residing outside the United States, Canada or Mexico MUST add $24.00 to the application schedule to cover CWP shipping fees.

PAYMENT MUST BE IN U.S. FUNDS DRAWN ON A U.S. BANK OR INTERNATIONAL MONEY ORDER, made payable to the Civil War Philatelic Society, or via PayPal.

Civil War Philatelist Mailing Information

Applicants who submit an application before 1 October will receive the back issues of the CWP for the current year and future issues for the year. They will be assessed dues for the next year. Those joining after 1 October will receive the last issue of the CWP for the current year and their dues will be paid for the next year.

Selecting the Membership Level You Wish

Enhanced Membership? None Sustaining Contributing Patron

Enhanced Memberships come with an additional yearly surcharge (USD):
· Sustaining $25 · Contributing $50 · Patron $100 ·
(Only available to Members 18 years of age and older)

Completing This Application - Final Step

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CIVIL WAR PHILATELIC SOCIETY APPLICATION

Key Account Information

About You - Please tell us about yourself

Your Memberships

Your References

To be completed by the Proposer (OPTIONAL)

Privacy Questions

Membership Details

Selecting the Membership Level You Wish

Completing This Application - Final Step

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