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Indiana State Numismatic Association

I.S.N.A. Membership Application
Home
2016 ISNA BOURSE APPLICATION
I.S.N.A. JUNIOR AUCTION REWARDS GUIDELINE
Let Us Never Forget
NUMISMATIC ADVERTISING
COIN SHOW PICTURES
Coin Collector's Corner
I.S.N.A. STATE DISTRICTS
I.S.N.A. COIN CLUBS
COIN SHOW CALENDAR 2016
ISNA Membership
I.S.N.A. Membership Application
Our Purpose
Becoming a Member
Contact Us
Links to Numismatic Clubs & Numismatic Info
I.S.N.A. BOURSE FLOOR MAP - LIBERY HALL

 

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  The Indiana State
Numismatic Association
MEMBERSHIP APPLICATION FORM

NAME (PRINT): Mr/Ms/Miss__________________________________________

ADDRESS:_________________________________________________________

CITY: ______________________________________________

STATE or PROVINCE: ______________________________ ZIP CODE: ________________

COUNTRY: _______________________________

PHONE NUMBER: (______) _____________________________

E-MAIL ADDRESS: _______________________@ __________________________

BIRTHDATE (if under 18): ___________________________

OCCUPATION:__________________________________________

NUMISMATIC INTERESTS: _____________________________________________________

PREVIOUS ISNA MEMBER?: YES_______NO________IF YES, PREVIOUS MEMBERSHIP #____________________________

LOCAL CLUB AFFILIATION:____________________________________________________

IS THIS APPLICATION FOR A: CLUB :_______OR INDIVIDUAL ________

ANNUAL MEMBERSHIP DUES: REGULAR $10.00, CLUB $10.00, JUNIOR (Under 18) $2.50. LIFETIME $200.00. International,  $20.00

Membership begins January 1 and ends December 31 of the same year. All memberships are subject to the Constitution and By-Laws of The Indiana State Numismatic Association.

SIGNATURE*: ________________________________________
*If under 18, Parent or Guardian must sign.

Please make checks payable to ISNA and forward to Joyce Fischer, ISNA Corr. Secretary, 1123 West 8th Street. Anderson, IN. 46016-2616