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Liberty Numismatic Society
Membership Application Monthly Meetings are Held at the Millbrae Public Library on the 3rd Wednesday of each month beginning at 7 p.m. Either mail the form, send it to the secretary, or bring it to the next meeting
Name _______________________________________ Telelphone _________________________ Address_____________________________ City_____________________ ST____ ZIP _______ Date of Application__________________________ Date of Admittance______________________ Coin Club Affiliations______________________________________________________________ If under 18, Birthdate___________________ Parent's Signature_____________________________ I hereby apply for
membership in the Liberty Numismatic Society and agree to abide by its
Constitution Annual Dues: Adult (18 & over) $12.00 Junior Members $5.00 Mailing Address: Liberty Numismatic Society, PO Box 300, Millbrae, CA
94030-0300 |
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