MEMBERSHIP APPLICATION FORM
(Please download and print this page)

I apply to join the Pacific Islands Study Circle and enclose

my subscription (dues) of £ …………… / Other Currency …………………… 
(See "subscription rates" page for details of how to pay)


Surname ………………………………………………………………

Mr./Mrs./Ms. etc. ………………

Forename(s) or initial(s) ………………………………………………

Postal Address:

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Phone …………………………………………… (optional)

Fax …………………………………………… (optional)

E-Mail ……………………………………………………………… (optional)

Signed ………………………………………………… Date ………………………

Please list your collecting interests. (Which islands? Stamps or postal history?)
If you are joining as a dealer, please say to which trade association(s) you belong.

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Please mail this form with your subscription (dues) to the Hon. Secretary:
John Ray, 24 Woodvale Avenue, London SE25 4AE, UK.

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