MEMBERSHIP FORM

 

 

Enclosed is $_______________ in U.S. funds drawn on a U.S. bank payable to Ken Berry, 7513 Clayton Drive, Oklahoma City, OK 73132 USA for a one year membership in the Napoléonic Age Philatelists.

     NAME _________________________________ 

  ATA No. if you are a member:  ______________

    ADDRESS _______________________________

    ________________________________________

    ________________________________________

         My topical collecting interests in stamps are checked below:

      ٱ NAPOLEON

ٱ BATTLES

ٱ ART AND PAINTINGS OF THE ERA

ٱ GENERALS

ٱ NAPOLEON VISITED

ٱ RELATIVES

ٱ FRIENDS 

ٱ OTHER ____________________

ٱ ENEMIES

ٱ ST. HELENA

ٱ NAVAL BATTLES

ٱ CITIES NAPOLEON VISITED

ٱ COVERS

ٱ POSTMARKS

  

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