Membership

HAWAIIAN
PHILATELIC
SOCIETY

ORGANIZED 1911

P. 0. BOX 1 0 11 5 • HONOLULU, HAWAII USA 96816-0115

Membership Application
Proposed by:
Date
MM slash DD slash YYYY
Name*
First Last
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
REFERENCES:
Business
Philatelic
Hawaii Special Interest(s)
Collecting Interests
FEES:
1. Yearly dues regular member (October thru September) Quantity
Price: $24.00
2. Pro-rata dues if joining during the period:
- OCT-DEC ($24.00)
- JAN-MAR ($18.00)
- APR-JUN ($12.00)
- JUL-SEP ($30.00)
3. Spouse member (½ regular member and must be at start of fiscal year) Quantity
Price: $12.00
4. JuniorMember (½ regular member) Quantity
Price: $12.00
Total
$0.00
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Payment Method*

MasterCard
Visa
Supported Credit Cards: MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name