Please feel free to print out this application, fill it out and mail with your dues payment to our Membership Chairman. A PDF Version of this application is also available. |
CONFEDERATE STAMP ALLIANCE APPLICATION |
Please complete form and mail to: Col. Larry Baum |
Date:___________________ |
||||||||
Mailing addresses of new members are published in The Confederate Philatelist as required by our By-Laws. If you do not wish to have your Email address published, please check here. ______ PLEASE ALLOW 4 – 6 WEEKS FOR THE APPLICATION TO BE PROCESSED. PLEASE REMIT AMOUNT INDICATED BELOW WITH YOUR APPLICATION.
* Last quarter application fee includes dues for the following year. NOTE: Applicants residing outside the United States, Canada or Mexico MUST add $24.00 to the application schedule. PAYMENT MUST BE IN U. S. FUNDS DRAWN ON A U. S. BANK OR INTERNATIONAL MONEY ORDER, made payable to the Confederate Stamp Alliance. |
|
REFERENCES: Each applicant MUST provide character references below. Full names, addresses and numbers should be given as all references will be contacted as required by our By-Laws. If the application is for a Junior Member, the GUARANTOR must provide references. Name and address of TWO character references (philatelic preferred, but not required):
If applicant is under age 18, please provide name and address of Guarantor:
Guarantor shall be responsible for all debts incurred by Applicant to the Alliance or any of its members until Applicant reaches eighteen years of age. I agree to the conditions stated on this application and authorize the above-stated parties to release financial or character reference information on myself to the Confederate Stamp Alliance. Signature of Applicant:_____________________________________________ Signature of Guarantor (if applicable):________________________________________ I hereby endorse the above Applicant and propose for membership in the Confederate Stamp Alliance (Proposer must not be one of the references above). Proposed by:________________________________________ CSA # __________ |