NASHUA COIN CLUB

serving New Hampshire numismatists since 1960

 
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Mmebership Application 2005

Membership Application

Nashua Coin Club

PO Box 3003

Nashua, NH 03061-3003

(Please Print)

 

The Nashua Coin Club meets the second Wednesday of each month at the Nashua Public Library, 2 Court Street, Nashua, NH from 7:00 to 9:00 PM. Meetings include discussion of member interests/show and tell, as well as current events in the hobby, special presentations, and the Coin of the Month. Members may also bring items of interest for sale and/or trade.

 

The information below is used for club business only and is never released to outside parties.

 

Name:__________________________________________________________________________________

Daytime Phone: _________________________________ Evening Phone ___________________________

Address: ________________________________________________________________________________

City: ____________________________________ State: _____________ Zip ________________________

Numismatic Specialty / Interests: ____________________________________________________________ ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

ANA Number: _______________________ Other Numismatic Affiliations: _________________________ ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Signature of Applicant: ____________________________________________________________________

Signature of Sponsor (optional): _____________________________________________________________

Junior Members Parent’s Signature: _________________________________________________________

Birth Date of Junior Member: ______________________________________________________________

Dues (circle): Junior (under 18) $3.00 All other members $10.00

Bring applications to the next meeting or mail it to the address above. Make checks to Nashua Coin Club.

=============================Please do not write below this line=========================

Secretary’s Information:

Date received: ____________ Member number: ______________ Amount Paid: __________________

July 2009

 
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