(please fill in application before printing)
Early American Coppers, Inc. Application for Membership
 
Dues for the first full year in EAC are $25.00 which includes a subscription to six issues (one year) of Penny-Wise. Donations to EAC are tax deductible, but dues payments are not.
 
Junior membership (under 18) is available for $5.00.
A birth date is required for a junior member.
Name:

Address:

City:

State: Zip:
Telephone:

(optional)
Email:

(optional)
Birthdate:

(required for Junior-member applicants)
Area of Interest:

Please enclose $25.00 (regular) or $5.00 (junior) for the first twelve month membership dues. Check should be made payable to Early American Coppers, Inc.
Please check one:

Begin my membership with the current issue of Penny-Wise.

Back date my membership to include the last couple of P-W issues, if available.
Mail to:  
  Early American Coppers, Inc.
  P.O. Box 3497
  Lake Worth  FL  33465
   
Signed: ______________________________________________