I hereby apply for membership in the Germany Philatelic Society, Inc.. I agree to be bound by the rules and regulations of the Society and its charter and bylaws. With this application I enclose the amount shown in the schedule of dues. These amounts are to be refunded if my application is not accepted.
( ) Mr. ( ) Mrs. ( ) Miss ( ) Ms.
_________________________________________________________________ (Last Name) (First Name) (Middle Name) Mailing Address________________________Date of Birth____/____/___ City____________________State___________________Zip______________ Home Phone ( )_______________Business Phone ( )______________ Email Address: _________________________________________________ Occupation_______________ Name of Employer_______________________ Business Address_________________________________________________ City______________State____________Zip____________ German - Area Collecting Interests_______________________________ ____________________________________________________________________________ Have you ever been expelled from, or denied admission to any philatelic organization? ( )Yes ( ) No If yes, provide details on a separate sheet.
Two commercial references must be furnished as to financial responsibility, in addition to the member who proposes you. Please give complete address of reference so that prompt processing of your application can be made. If you do not know a GPS Member, please leave the Proposer's Name blank. Reference N°. 1 ________________________________________________ ________________________________________________________________ Reference N°. 2 ________________________________________________ ________________________________________________________________ DATE: _____________ SIGN HERE___________________________________ I hereby recommend the applicant for membership in the Germany Philatelic Society, Inc.. I am (am not) personally acquainted with the applicant. Proposer' Name________________(WEB SITE) GPS No.____________ (Must be a GPS Member)