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Pacific Islands Study Circle Membership Application Form

I apply to join the Pacific Islands Study Circle and enclose
my subscription (dues) of £ …………… / Other Currency …………………… 
(See website "Membership" 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:
Mr John Ray
24 Woodvale Avenue
London SE25 4AE
UK.