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] .

  ................

  ................

  ...............

[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:.............................................