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Please PRINT THIS FORM
Send with US bank cashier, Personal check, or US Postal money order.
 

Membership Type

Annual Membership

Number of Memberships

=

TOTAL

US with ecopy Bulletin

30.00

 

=

$

International with ecopy Bulletin

30.00

 

=

$

US with Printed Bulletin

40.00

 

=

$

International with printed Bulletin

50.00

 

=

$

Total Membership Fees

$

Name _________________________________________________________

Address _______________________________________________________

City & State ____________________________________________________

Zip Code ____________     Email Address  ___________________________

Country  __________________   Telephone __________________________

Signature  ___________________________________ Date  _____________ 

Do we have your permission to print the above information in the Membership Directory?

 (We do not share your information with anyone) 

Please circle one:     Yes      No
Please mail this form with your check or money order to:

Thimble Collectors International
TCI Membership Chairperson
4927 Dawnview Lane
Lakeland, FL 33811-1591

 

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Thimble Collectors International
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