NENA Membership Application

NEW ENGLAND NUMISMATIC ASSOCIATION 
MEMBERSHIP APPLICATION 
(please print clearly) 

NAME: _______________________________________ DATE:_________________

ADDRESS: __________________________________________________________

CITY: __________________________ STATE: _________ ZIP: _________________

EMAIL: ______________________________________________________________

PHONE: _____________________________________________________________

NUMISMATIC INTERESTS: ______________________________________________

ANA NUMBER: ____________ OTHER AFFILIATIONS: ________________________

SPONSORING CLUB (IF APPLICABLE): ____________________________________

APPLICANT'S SIGNATURE: _____________________________________________

 

Dues per ___ $15.00 Regular Membership
calendar year ___ $200 Regular Life Membership
(Check One)

___ $5.00 Junior Membership (under 18)
Date of birth: _______________
  ___ $15.00 Club Membership
  ___ $200 Regular Club Lifetime Membership

 

Send completed application and a check payable to NENA to:

 

Robert F. Fritsch, Membership Director

P.O. Box 3003

Nashua, NH  03061-3003
 
 

NENA News, a quarterly publication of the New England Numismatic Association is included with membership.