PNC3  APPLICATION  FOR  MEMBERSHIP    

This application, after printing a hard copy, should be submitted, along with your first year's dues, (See Dues Structure Box Below) to the Club Treasurer, Harvey Wales, 13 Birmingham Place, Vernon Hills, IL 60061-2103.

Enclosed are my dues for membership in the Plate Number Coil Collectors Club (PNC3). I understand
that the full amount of my remittance will be returned to me if my application is not accepted.

Name:    E-Mail Address:
Address:
City: State/Country: Zip/Post Code:- Zip+4:
Daytime Phone: Evening Phone: Fax:

Are You A Stamp Dealer? Yes No - If YES, Indicate Business Name:

Philatelic Societies To Which I Belong:
APS ~ Member #:     ATA ~ Member #:
USSS ~ Member #:  AFDCS ~ Member #:
Other - Please indicate Other organizations below, including member # if applicable:

Personal Reference (or PNC3 sponsor)

  Philatelic Reference

Name:  

  Name:

Address:

  Address:

City: State:     Zip:
Country (If not U.S.A.):

  City: State: Zip:
Country (If not U.S.A.):

I agree to abide by the club's Bylaws and Code of Ethics.

Signature:________________________________________________ Date: ______________________
This application is NOT ACCEPTABLE without all of the above information.

I would like my name and address published on the annual roster. Yes No

 

PNC Collecting Interests. Please Check All That Apply!

MINT:
Plate # Strip of 7 or larger
Plate # Strip of 5
Plate # Strip of 3
Plate # Singles 		VARIETIES:
Precancel Gaps
Plate / Mat
Die Cuts
Back Numbers 		COVERS:
Commercial
First Day		 USED:
Multiples
Singles		 OTHER:
Other PNC Items
EFOs

IMPORTANT: Please complete this form, print out a copy, sign and date the application, write a check payable to PNC3 and mail to the treasurer, Harvey Wales, 13 Birmingham Place, Vernon Hills, IL 60061-2103. Email Harvey Wales if you have questions.

Dues Structure - includes a $2 initiation fee.

     This application will not be processed until received by the Treasurer.
     The name of the applicant will be published in the next issue of the club's monthly journal, COIL LINE, for review by current members. Deadline for each issue is the 15th of the month.
     Upon acceptance into membership, the applicant will receive a membership number and card, and will then be eligible for two free ads per year in Coil Line and discounts from PNC dealers who offer discounts to members of PNC3.
   The membership approval process may require up to three months for completion. Applicants will receive monthly issues of COIL LINE during the approval process.

Application received during:

 U.S.A. Canada
Mexico

Foreign

Electronic Coil Line

January-February-March

 $14.00 $19.00 $24.00

$14.00

April-May-June

 $11.00 $14.75 $18.50

$11.00

July-August-September

 $8.00 $10.50 $13.00

$8.00

October-November- December

 $17.00* $23.25* $29.50*

$17.00*

Yearly dues after acceptance

 $12.00 $17.00 $22.00

$12.00

 Junior dues of $5.00 (anytime of year) include the initiation fee.

*Rate covers period until end  of the following December.
 
 
 

NOTE: COIL LINE, our club journal is normally mailed Bulk Rate in the U.S., First Class to Canada, Mexico and International addresses.
I would like to receive Coil Line (Select Only One)Electronically Bulk Rate First Class Mail.  
First Class Domestic Mailing is available for an additional fee of $6.00 per year. 
There is no additional charge for the Electronic Coil Line option.

REMINDER: Print a copy of this form and submit it to the Treasurer with your check payable to PNC3.

(Start Over) (Send Copy To Webmaster)

--------------------------------------------------------------------------------------------------------------------------------------------------------------

FOR CLUB USE ONLY - Date Received ________________ Member Number ___________

Ack ______________   C/L ______________   Card ______________   Life ______________