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Application for Membership

Membership in the McCoy Pottery Collectors Society is open to all who express an interest in McCoy Pottery, provided that the applicant is eighteen years old or older, and upon the submittal of a completed and signed application form and the payment of dues, and upon approval by the Board of Directors.

The Society also welcomes persons between the age of sixteen and eighteen as non-voting junior members.

The Society does not discriminate against applicants on the basis of being of an age older than sixteen, gender, sexual orientation, religion, race, color, or national or ethnic origin.

Please complete the application form below, print out, and mail it along with the appropriate dues amount to:

McCoy Pottery Collectors Society
P.O. Box 5286
Delanco, NJ 08075


Date:

Name:

Name:
(additional name if application includes significant other)

Street Address:

City, State, Zip:

Home Phone: Office Phone:

E-mail address:

Occupation:

Occupation of Spouse:
(if joint application)

Signature: ___________________________ Signature of Spouse:__________________________
(if joint application)

DUES SCHEDULE:

Annual dues are $15.00 per person in the USA, and $18.00 per person for Canadian residents. For partial years, the dues for new members will be pro-rated. The purpose is that all dues are due in January. For example, if you are an existing member and your dues renewal month is July, or if you join the Society in July, your initial dues would be $7.50, that is, $1.25 ($1.50 in Canada) for each month from July until December. Thereafter, each person's dues will be $15.00 (USA) or $18.00 (Canada) and be payable in January. Email notices are sent to the members whose dues are payable.

Application Received by: ____________________________

Amount Paid with Application: ________________________

Approval Date: _________________

Approved By: _____________________________________