Online Membership Application Email*PasswordRetype PasswordSalutationFirst NameLast NameOrganizationAddress*Address line 2City*StateZip+4 (Postal Code)Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic Republic of theCook IslandsCosta RicaCote D'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsle of ManIsraelItalyJamaicaJapanJersyJordanKazakhstanKenyaKiribatiKosovoKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint BarthelemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MarteenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweHome PhoneMobile PhoneBusiness PhoneFax NumberWebsite URLCollecting Interests*If none, please put "none". (Please be as specific as possible, i.e., issues collected, plating, types of covers, cancellations, postal history, etc.)Research Projects*Current or Past Projects.... If none, please put "none".List Me in the Members Directory List Me in the Members DirectoryPast Member No YesHave you been a member of this Society in the past?APS Member No YesAre you a current member of the American Philatelic Society?APS NumberIf you are an APS Member, please provide your APS Membership NumberOther Philatelic MembershipsHave you ever been expelled from or denied admission to any philatelic organization?* No YesIf Yes, please provide details:Your ReferencesReference 2References are not required for Members of the American Philatelic Society. Others should submit two philatelic trade references or names of members of the U.S. Philatelic Classics Society, Inc.How did you hear about the USPCS?* APS Other Member Internet Flier Scott Specialized Ad Dealer Show OtherIf you select "Dealer, Show or Other"‚ please provide details below: Heard About From DetailsSelect Membership*New/Regular ($35/year)New/Life ($1000) Membership dues are $35 per year (July 1 – June 30). If you join (i.e., if you are completing this form) between July 1 and March 31, you will be sent all the back issues of the Chronicle for this membership year. You will be sent a dues notice for next year in early May. If you join between April 1 and June 30, the dues will apply to the next membership year. Your access to the website will be granted immediately, but your Chronicle subscription will begin with the August issue. USA Life Memberships $1,000.00 (NOTE: International Life Memberships are available at $1,000.00, plus an annual additional charge for international airmail service. This cost is currently $16/year, but will continue to be billed at our actual cost if and when the United States Postal Service (USPS) increases their rates.). The $1,000 fee can be paid over 6 months with three payments: $333, $333 and $334. Number of Years* 1 Year 2 Years 3 Years 4 Years 5 YearsReceive Printed Copies (International Only) Yes NoINTERNATIONAL: A $16 per year surcharge is added to the dues for members whose addresses are outside the USA to cover additional mailing costs. You may choose to waive the receipt of hard copies of the Chronicle and the Chatter and save the $16 yearly shipping fee. The Web Chronicle appears in the members’ area of the Society website about 30 days after publication.I wish to make payment by:* Personal Check PayPalHelp Keep Us Safe*What is the sum of three and three? 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