Print a copy of this APPLICATION FORM, complete it with your details and send it together with your subscription remittance, in Sterling please, payable to “ASCENSION STUDY CIRCLE”, to the Honorary Secretary: 
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
APPLICATION FOR MEMBERSHIP


I wish to apply for membership of the ASCENSION STUDY CIRCLE
 

[Name] …………………………………………………………………………….....

[Address] …………………………………………………………………………….

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[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? 

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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:.............................................