ANA Application

ANA MEMBERSHIP APPLICATION

YES, I want to be part of America's Coin Club. I understand that I will receive the Association's monthly magazine The Numismatist; have access to 30,000 books in the world's largest numismatic lending library; will be eligible for discounts on numismatic books; and obtain dozens of other exclusive member benefits.

Name:	____________________
Address:	____________________ ____________________
City:	____________________
State:	__________
Zip:	__________
Country:	__________
Postal Code:	__________
E-Mail:	___________________
Birth date (MM-DD-YEAR)	___/___/_____
Type of membership (select one):	_____ Regular $39 (US - 1 year) _____ Regular $49 (Foreign - US funds - 1 year) _____ Junior $15 17 years or younger (US - 1 year) _____ Senior $35 (US - Age 65 or older - 1 year) _____ Regular $90 (US - 3 year) _____ Regular $150 (US - 5 year) _____ Life $750

*Annual membership dues (with the exception of Associate membership) include $20 for a one-year subscription to The Numismatist.

To join by credit card:
Please charge my membership dues of $__________
Credit Card Type:	_____ Visa _____ MasterCard _____ Discover Card _____ American Express
Credit Card No. (all digits):	____________________
Expiration Date (MMYY):	____/____

Signature:	____________________

Periodically, the ANA's mailing list is sold or provided to third parties. If you do not want your information provided to such parties for non-ANA related mailings, please check here. ______.
(Previous requests not to provide your information will continue to be honored.)

Promotion Code _______

I herewith make application for membership in the American Numismatic Association, subject to the Bylaws of said Association. I also agree to abide by the Code of Ethics adopted by the Association.

Primary Sponsor: MegaCoin.Com

Mail or Fax your application to:

American Numismatic Association
818 North Cascade Avenue
Colorado Springs, CO 80903
Fax: 719-634-4085