Belgian Study Circle – Application for membership
Name: ……………………………………………………….. Age: ………………
Address: ……………………………………………….…………………………….…
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Tel No. (Home): ………………………. (Business): ………………………………….
E-mail: ………………………………………………………………………………...
Nationality: …………………………… Occupation: ……………………………..…
1. I wish to apply for Membership/Overseas Membership of the Circle.
2. I have collected Belgian stamps for .......... years:
(a) as a specialist of the stamps of the country for .......... years;
(b) as a specialist of the Postal History of the country for .......... years;
(c) as a general collector for .......... years.
3. My main interests as a collector of Belgium at present are:
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4. My references, should the Circle wish to take them up, are:
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(Please name two well-known dealers or philatelists who may be referred to, should the Circle desire.)
5. Please give overleaf any further information that you might feel is relevant such as other Philatelic Societies of which you are a member, any offices held; awards at Philatelic Exhibitions; articles written or research carried out.
6. I would like to see*/I do not wish to see* the Exchange Packets.
(UK Members only) *Please delete as applicable
Date: ………………………… Signed: ……………………………………..…….
Please return this application form
to:
Mr C R Howe, 14 Sandringham Gardens, Fishtoft, Boston, Linconshire PE21 9QA, UK enclosing subscription of £20,00 UK, €30.00 or Sterling equivalent for Europe,
$40.00 or Sterling equivalent for the Rest of the World.