Crescent City Coin Club

Application for Membership

 

 Care of:

Crescent City Coin Club
3712 Williams Blvd, Suite I
Kenner, LA 70065

 

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Print Your Name

 

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Mailing Address

 

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City, State  Zip

 

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(Area Code) Phone Number                                             E-mail Address

 

I hereby apply for membership in the Crescent City Coin Club subject to the
 

Associationís Constitution and By-Laws and tender $ ________ dues.

 

 

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Collecting Interests 

 

 I hereby apply for membership in the Crescent City Coin Club subject to the

 

by-laws  and payment of dues.

 

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Signature Of Applicant                                                                          Date

 

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Signature of Parent or Guardian for Junior Membership                  Date

 

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Recommended by                                                                                   Date

 

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For official use only:

 

First Reading        ________________________

 

Second Reading   ________________________

 

Third Reading      ________________________

 

 

Approved: _______________________________________________________

                    President                                                                                Date

 

Dues Received: $________________________   Date: ____________________