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Date___________ I herewith apply for membership in the Texas Numismatic Association,
subject to the association’s Articles of Incorporation,
By-Laws, and other
rules and regulations, and tender $___________________ for dues.
Mr., Mrs., Miss.,_____________________________________________________________________________
Type or Print Name as you want it on
Roster
___________________________________________________________________________________________
Business
Name or
d.b.a.
Street or P.O. Box_____________________________________________________________________________
City _______________________________________________State _______________Zip___________________
eMail_________________________________________________ Phone#________________________________
Under 18 yrs. of age__________18 or over _______________
Applying for:
Regular________ Associate__________ Junior_________ Chapter________
___________________________________________________________________________________________
Collecting
Interest
___________________________________________________________________
Signature of Applicant
___________________________________________________________________
Junior Applicant: Signature of Parent of
Guardian
________www.tna.org______________________TNA#________________
Signature of Proposer
| For Use by
TNA Secretary: TNA Action _________________TNA#_____________
Dues Received $______________ Date______________ |
TNA Dues:
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Regular and
Chapter....................................................
Associate........................................................................
Junior.............................................................................
Life
Member................................................................. |
$ 20.00
8.00
8.00
$300.00 |
Please Mail Completed Application To:
Texas Numismatic Association
Lawrence Herrera (Secretary)
4717 West Lovers Lane
Dallas, TX 75209
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Application
for Membership in the
Texas Numismatic Association, Inc.