NEW ENGLAND NUMISMATIC ASSOCIATION
MEMBERSHIP APPLICATION
(please print clearly)
NAME: _______________________________________ DATE:_________________
ADDRESS: __________________________________________________________
CITY: __________________________ STATE: _________ ZIP: _________________
EMAIL: ______________________________________________________________
PHONE: _____________________________________________________________
NUMISMATIC INTERESTS: ______________________________________________
ANA NUMBER: ____________ OTHER AFFILIATIONS: ________________________
SPONSORING CLUB (IF APPLICABLE): ____________________________________
APPLICANT'S SIGNATURE: _____________________________________________
Dues:
___Individual or Club membership, 1 or 2 years $15.00 (per year)
___Individual or Club membership, 3 years $40.00 (save 11%)
___Lifetime membership Individual or Club $250.00
___Lifetime membership (if at least 65 years of age) $200.00
Send completed application and a check payable to NENA to:
Robert F. Fritsch, Membership Director
P.O. Box 3003
Nashua, NH 03061-3003
NENA News, a quarterly publication of the New England Numismatic Association is included with membership.