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Dr Richard Baker, Greys, Tower Road, Whitstable, Kent CT5 2ER, UK or Members wishing to remit in U.S. Dollars should make checks payable to “PETER W KNIGHTES” and send it with a copy of this application form to: Professor Peter W Knightes, 2402 Custer Circle, Killeen, TX 76543, USA ASCENSION STUDY CIRCLE
I wish to apply for membership of the ASCENSION
STUDY CIRCLE
[Name] ……………………………………………………………………………..... [Address] ……………………………………………………………………………. ……………………………………………………………………………................ ……………………………………………………………………………................ ……………………………………………………………………………............... [Telephone] ………………………………………………………………………… [email] …………………………………………………………….………………
Do you wish to receive the Information Packet? ……………………. Do you wish to receive the Exchange Packet? ……………………. Do you have any specific areas of interest in Ascension philately? …………………………………….................................................................... …………………………………….................................................................... Are you a member of any other specialist philatelic society? ……………………. Have you exhibited ASCENSION at any level? ……………………. Do you have any other collecting interests? ……………………………………. Signature of Applicant: ............................................................................................ Date:.............................................
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