Application for Membership in the Texas Numismatic Association, Inc.


Date___________  I herewith apply for membership in the Texas Numismatic Association, subject to the associationís Articles of Incorporation, By-Laws, and other rules and regulations, and tender $___________________ for dues.
 

Mr., Mrs., Miss.,_____________________________________________________________________________
                                   Type or Print Name as you want it on Roster

___________________________________________________________________________________________
                                                           Business Name or  d.b.a.

Street or P.O. Box_____________________________________________________________________________

City _______________________________________________State _______________Zip___________________

eMail_________________________________________________ Phone#________________________________

Under 18 yrs. of age__________18 or over _______________

Applying for:
Regular________ Associate__________ Junior_________ Chapter________


___________________________________________________________________________________________
                                                              Collecting Interest

___________________________________________________________________
            Signature of Applicant

___________________________________________________________________
             Junior Applicant: Signature of Parent of Guardian

________www.tna.org______________________TNA#________________
            Signature of Proposer

For Use by TNA Secretary:

TNA Action _________________TNA#_____________

Dues Received $______________ Date______________

TNA Dues:

 

Regular and Chapter....................................................
Associate........................................................................
Junior.............................................................................
Life Member.................................................................
$  20.00
      8.00
      8.00
$
300.00

Please Mail Completed Application To:
Texas Numismatic Association
Lawrence Herrera (Secretary)
4717 West Lovers Lane
Dallas, TX 75209