| Membership Form |
Annual dues are $35.00 in the U.S.A. and $45.00 (in U.S. funds) for all other countries, of which $40.00 is for a one year subscription to Prosit)
Use your printer to print this form. Fill in the form and send with a check to:
Stein Collectors International, Inc. Name:_________________________________________________ Address:_________________________________________________ City:________________________ State:______________ Zip:___________________ Home Phone #:____________________________________ Office Phone #:____________________________________ FAX #:____________________________________ E-Mail address:__________________________________________ ( ) DO NOT publish my information in the Membership Directory.
Spouse:__________________________________________________ Type of steins collected: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________
Dept. PSS Online
P.O. Box 342
Stevens Point, WI 54481-0342