ANA M EMBERSHIP APPLICATION

[Pages:1]ANA MEMBERSHIP APPLICATION

m Dr. m Mr. m Mrs. m Ms. m Other

PLEASE PRINT

Name

ANA#

Address

City

State

Zip

E-mail

Phone

Date of Birth (Required for Senior andYoung Numismatist discounts)

Sponsor

ANA#

Please accept my application for membership in the American Numismatic Association, subject to the bylaws of the Association. I agree to abide by the Code of Ethics adopted by the Association. I understand membership dues

are nonrefundable in the event of resignation, expulsion or disciplinary action.

Date

Staff

PAYMENT

m Cash m Check m Credit Card

m New Membership m Renewal Membership

Applicant Signature

As parent/guardian of a minor applicant, I give my child consent to join the ANA.

ANA MEMBERSHIP RATES

ANA Membership Dues

Gold (online version of The Numismatist) Gold (ages 5-17) Silver (spouse/partner living at same address) Platinum (The Numismatist delivered to your door) Platinum (ages 65 and older) Platinum (ages 5-17)

1 year

m $30 m $16 m $16 m $46 m $41 m $26

2 years

m $ 57 m $ 30 m $ 30 m $ 88 m $ 78 m $ 50

3 years

m $ 84 m $ 44 m $ 44 m $130 m $115 m $ 74

Life Membership Dues

Under 55

Basic (online version of The Numismatist)

m $ 800

Regular (The Numismatist delivered to your door) m $1,200

55 & Over m $600 m $900

International Rates: Add $36 per year for magazine delivery outside the U.S.

5 years

m $138 m $ 74 m $ 74

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