Name _________________________________Date Joining__________
Address________________________________ Zip Code ____________
Telephone__________________ E-mail__________________________
Sponsored by:________________________
The above named applicant hereby consents to become a member of the Bellaire Coin Club
and to take an active
part in the business and affairs of the club.
Signature: ________________________Dues paid:_____________
Members under the age of 18 must have permission of a
parent or guardian to join the Bellaire Coin Club. The
parent or guardian hereby consents to this new "Young
Numismatist" to become a member of the club, and to
take an active part in the business and affairs of the club.
______________________________
Parent or Guardian’s signature:
Print out and send completed application to:
Bellaire Coin Club
P.O. Box 303
Bellaire, Texas 77401
Or bring it with you to:
Bellaire Coin Club,
Bellaire Public Library
take elevator second floor
coin auction preview
5111 Jessamine Bellaire Texas 77401,
(I 610 #6 @ Bellaire Blvd)
On the 1’st & 3’rd
Mondays of the month,
6:00 PM to 8:00 PM
