Texas Philatelic Association - Membership Application

First Name:
Last Name:
Email:
Address:
City:
State:
Zip:
Home Phone:
Day Phone:
Date of Birth:
Are you a stamp dealer?:
If yes, enter your trade name
Top 5 Stamp Interets:




Philatelic Memberships:
Membership Directory Options:
Please include my collecting interests and my:
Mailing Address
Email Address
Phone Number
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Date Submitted:
Reference and Adress:
(if national philatelic organization, indicate member number
 
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