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Membership Application Form

Please complete this form, print and sign it where required, and mail it to:

David Gottesmann, 19 School Road, Sible Hedingham, Halstead, Essex CO9 3NR

Note that as this website is not on a secure server, we do not have a facility for processing online applications. If you wish to pay by credit card we will do this by billing you through PayPal - for details see the Payment section of this form.

Your details

Surname		Forename(s)
Address		Post/Zip code Country

Tel No

Fax No

Status (tick one or both boxes):

Collector

Dealer

Interests

Major areas of Cinderella interest (tick all that apply)

Locals	Revenues/Fiscals	Telegraphs
Railways	Bogus/Phantom	Xmas Seals
Charity Seals	Advertisement/Exhibition Labels	Poster Stamps
Registration Labels	Forgeries

Others (please specify)
Countries or areas of special interest
Please give details of any assistance you could offer to the club or any displays you could give

Exchange Packet (UK members only)

Do you wish to participate in the Exchange Packet circuits?

Yes No

If YES, then tick the circuits you require

Revenues (including GB)		Labels/Poster Stamps
World War I		Locals

Payment

Cheques/checks should be made payable to “Cinderella Stamp Club”.

One year's subscription (January - December) £18.00
Dispatch of The Cinderella Philatelist:
	Included for UK members
	Surface Mail (outside UK) £2.00
	Airmail (ouside Europe) £7.00
Payment options:
	I enclose Sterling cheque
	I wish to pay through PayPal

If paying through PayPal, please enter your email address (if not given previously, or to use a different one):

Total amount due (if paying by US check, please convert to dollars at the current rate of exchange)

Signature(s)

Sign the boxes below after you have printed the form.
Signature		Date

If under 18 years of age, signature of parent or guardian

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