Central States Numismatic Society

Serving the Numismatic Community since 1939

Membership Application Form

Two dollar Education Note

1896 $2.00 Education Note

YES, I want to be part of the Central States Numismatic Society!

Name _____________________________________________________

Address ___________________________________________________

City _________________________State___________Zip____________

Country ____________________________ Birthday _______________ (If Under 18)

Type of Membership: Adult __ Club __ Junior __ (Check One)

  ___Enclosed is $20.00 (US funds) for a 1 year Membership. (Adults and Clubs)
  ___Enclosed is $500.00 (US funds) for a life Membership (Not Available to Foreign Residents)
  ___Enclosed is $15.00 (US funds) for an Associate Member (resident of same household as another member)
  ___Enclosed is $10.00 (US funds) for 1 year Junior Membership
  ___Enclosed is $40.00 (US funds) for Club Membership
  ___Enclosed is $1000.00 (US funds) for Club Life Membership


Central States Numismatic Society
Patricia Foley - CSNS Secretary
PO Box 210710 Milwaukee, WI 53221

E-mail Address (optional)    _______________________________________________

I herewith make application for membership in the Central States Numismatic Society,

Signature of Applicant________________________________________Date_________

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