YES, We want to be part of Pennsylvania's State Coin Club.
We understand that
we will receive the Association's quarterly journal The Clarion;
we will recieve notification of upcoming PAN coin shows and conventions;
and will help support PAN's numismatic education
efforts across the state.
Club Name ____________________________________________________
Street _______________________________________________________
City _________________________________________________________
State  Pennsylvania  Zip Code ___________________
President ___________________________
Phone ______________________________
Secretary ___________________________
Phone ______________________________
We hereby make application for membership in the
Pennsylvania Association of Numismatists,
subject to the bylaws of the association.
_______________________________________________________________________
Officer's Signature/ Date
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