MEMBERSHIP APPLICATION, FWPL

1)  NAME:                                               DATE:



                                                [ ] NEW MEMBER



                                                [ ] RENEWING MEMBER

MAILING ADDRESS:

  STREET:

                                       TELEPHONE:

  CITY:

 STATE/COUNTRY

 ZIP/POSTAL CODE                               PROPOSED FOR MEMBERSHIP BY:

What are your collecting interests?

What literature would you like to see in the Western Philatelic Library.  Give

specific titles and authors, if possible.

Do you have experience or knowledge in any of the following areas that could

benefit the Friends of The Western Philatelic Library?

[] Philatelic Literature    [] Pubications           [] Typing

[] Postal History           [] Publicity writing     [] Computer maintenance

[] Library work/Cataloging  [] Philatelic writing    [] Database programming

[] Public Speaking          [] Photography           [] Computer

                                                        Interface/Networking

[] Public Relations         [] Art/Graphics          [] Translation

                                                        (specify languages)

Would you be willing to contribute your time and talents to help the

continuging growth of the Western Philatelic Library? [] Yes     [] No

MEMBERSHIP DUES AND DONATIONS

Individual annual memberships by calendar year are as follows:

Participating (U.S., $20.00; Canada, $22.00; Overseas (Air Mail), $28.00)

Contributing  (U.S., $30.00; Canada, $34.00; Overseas (Air Mail), $38.00)

Other categories:

Life Member (North America, $175.00; Overseas, $200.00)

Founder Membership ($1,000.00, world wide)

Payment enclosed as follows:

          Dues .................................... ________________

          Donation (for Book Purchases Fund) ...... ________________

          Donation (for Operating Fund) ........... _________________

Please note: All donations to the Friends of The Western

Philatelic Library are tax deductible.

                                                     ==================

                  TOTAL AMOUNT ENCLOSED ............ __________________

Signature: ____________________________________________

As a token appreciation of Friends of The Western Philatelic

Library of those who become a member at the Contributing Member level

(or higher), we are pleased to offer you a book from our "Bonus Book List."

When we process your application, you will be sent a copy of the list and

asked to make your selection.

Please make your check payable to:

Friends of The Western Philatelic Library, Inc.

Please mail your completed membership application

together with your dues payment to:

Friends of The Western Philatelic Library, Inc.

Post Office Box 2219

Sunnyvale, California 94087

U. S. A.

This page was last updated on: January 29, 2001.