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Membership Application

It's easy to join or renew today. Just complete the following form and hit the submit button. You will be taken to the payment page where you can pay your dues using PayPal, a credit card or get instructions to mail your payment.

If you have any questions about joining the club, contact Membership Coordinator Barry Yedlin at spclubmembership@q.com.

Membership Information:

Note: * Indicates required fields.

Primary Member:
*New Membership or Renewal?		New Membership Renewal
*First Name:
*Last Name:
Spouse Name:
		(Spouse should be listed here only if you wish their name to be in the roster and he/she is NOT joining.)
*Address:
*City:
*State/Province:
*Zip Code/Postal Code:
*Country (other than USA):
Telephone:
		(Will be printed in roster if given)
*E-mail Address:
*Re-type E-Mail Address:
		(Check this box if you do NOT want your e-mail address printed in the roster. )
Interested in Collecting:
		(Disney, Goebel, animals, etc. - limited to 36 characters)
Associate Member (at same address):
First Name:
Last Name:
E-mail Address:
Re-type E-mail Address:
		(Will be printed in roster if given)
Interested in Collecting:
		(Disney, Goebel, animals, etc. - limited to 36 characters)
*I wish to receive the Membership Roster by:		--Please select one-- Mail E-mail Both mail and e-mail NOT AT ALL
		Note: Primary Members by E-Mail can only choose to receive the Membership Roster by E-Mail or Not At All
Dues Options:
		The dues year is based on a calendar year. Dues paid now will be for the current year and will expire on 12/31 of this year (or next year if you select the 2 year option). Please select your option by country.
U.S., Canada and Mexico:		--Please select one-- $20 - Primary Membership by E-Mail $25 - Primary Membership by E-Mail plus 1 Associate Member $30 - Primary Membership by Mail $35 - Primary Membership by Mail plus 1 Associate Member $55 - 2 Year Primary Membership by Mail $65 - 2 Year Primary Membership by Mail plus 1 Associate Member --After June 30th-- $10 - 1/2 Year Primary Membership by E-mail $12.50 - 1/2 Year Primary Membership by E-Mail plus 1 Associate Member $15 - 1/2 Year Primary Membership by Mail $17.50 - 1/2 Year Primary Membership by Mail Plus 1 Associate Member
Other Countries:		--Please select one-- $20 - Primary Membership by E-Mail $25 - Primary Membership by E-Mail plus 1 Associate Member $35 - Primary Membership by Mail $40 - Primary Membership by Mail plus 1 Associate Member $65 - Two Year Primary Membership by Mail $75 - Two Year Primary Membership by Mail plus 1 Associate Member --After June 30th-- $10 - 1/2 Year Primary Membership by E-Mail $12.50 - 1/2 Year Primary Membership by E-Mail plus 1 Associate Member $17.50 - 1/2 Year Primary Membership by Mail $20 - 1/2 Year Primary Membership by Mail plus 1 Associate Member
Payment Information:
*How are you paying?		PayPal or Credit Card Check in the Mail
Additional Information:
For contest purposes, are you a dealer? A dealer is someone who sells regularly on eBay, at a mall, a shop or a home business, sets up at shows, etc.		Yes No
I was referred by:
Comments:

 

 

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