Canadian Philatelic Society of Great Britain

 
 

 

Membership Application Form

 
     
 

I wish to apply for admission as a member of the Canadian Philatelic Society of Great Britain.

Surname Forename(s)

Address Post/Zip code


Country


Tel No Fax No Email
Status (tick one or both boxes):
Collector
Dealer
 
Tick if Exchange Packet wanted:

Main collecting interests in Canada and British North America

 

 

How did you hear about CPSGB?
I enclose my initial subscription of:
Please make all cheques (checks) payable to C.P.S. of G.B.
   

I have read the notice concerning the Data Protection Act and am willing for the above data to be stored and utilised as indicated below.

Please print this form now, sign the printed copy, and post with your remittance.

For UK/EU and ROW applicants: John Watson, Lyngarth, 106 Huddersfield Road, Penistone, South Yorkshire S36 7BX, UK
For US/Canada applicants: Mike Street F.C.P.S. , 73 Hatton Drive, Ancaster, Ontario L9G 2H5, Canada

Signature Date
       
 
 

DATA PROTECTION ACT 1984
I understand that the details supplied in my application, and any subsequent amendments thereto, will be held on computer files on behalf of the Society. Such information will only be used
1. To compile the Members Handbook
2. On a mailing list for distribution of ‘Maple Leaves’ and any other Society literature
3. On mailing lists, if applicable, for circulation of the Exchange Packet