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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