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Membership Application Form

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

R Hudson, PO Box 172, COVENTRY, CV6 6NF, UK

Note that as this website is not on a secure server, we do not have a facility for processing online applications. If you are paying by credit card, any details you enter will not be transmitted electronically. If you prefer, you may enter any credit card details by hand after you have printed the form.

Your details
Surname Forename(s)

Address Post/Zip code

Country


Tel No Fax No Email
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”.
You may also pay by credit card (VISA or MASTERCARD).

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 enclose US Check (add equivalent of £5.00 for bank charges)
  I wish to pay by credit card (add 5% service charge)
VISA
MASTERCARD
Please enter your card details as follows (you may enter these by hand after printing if you prefer)
Card Number Name on Card
Security digits (from the signature area on the back of your card)
Valid From Expiry Date
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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Last updated on 23 April, 2008
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