Application For New Membership
In Mid-West Tool Collectors Association
Please print or type the following information
Note: If you are a current member, please do
not use this form for renewal.
Member's Name: Spouse's Name: Mailing Address: Street Address __________________________________________ City_________________________________ State/Province _________________________________ Country____________________ ZIP ______________ Telephone Number: Fax Number: E-mail address: What tools do you collect?: Are you able, and if so, are you willing to give demonstrations or lecture on an early craft for either national or local meetings? Yes No Describe: Are capable and agreeable to doing voluntary work for the association? Yes No Are you: A collector? Yes No A dealer? Yes No Connected with a museum? Yes No Recommended by: Return to: John Wells, P.O. Box 8016, Berkeley, CA 94707-8016 |
Membership dues are payable January 1 of each year in US FUNDS.
$25.00 per year for USA,
$33.00 for Canada and
$40.00 for Foreign members.
Applicants
joining after the annual fall meeting will be considered paid up members
for the ensuing year.
Please carefully complete this application in its entirety and mail
it with your check or money order to
M-WTCA (c/o):
John Wells
P.O. Box 8016
Berkeley, CA 94707-8016