AlbionStamps.com

Albion circuits membership form

To become a member of Albion Circuits, please complete this form and send all dues to:

Albion Circuits

3334 Long Beach Rd.

Suite #149

Oceanside, NY 11572

USA

Questions should be e-mail to:

Terms and Agreements can be found here:

http://www.AlbionStamps.com/AlbionCircuits.htm

Name:
Address:

City:
State/Province:
Zip/Postal Code:
Country:
e-mail Address:
Telephone #:

Age (if under 18):
Collecting Interests:
Philatelic Society and Club Memberships:
Personal stamp website (if any): May be listed in circuits

Circuit interests:	Pre-1950's Circuit
	Post-1950's Circuit
	Catalogue Value Circuit

Stamp due's per � year (100+) (Fee is per 6 months)	Stamp dues are for each type of circuit!
Referral Name and #:

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