ACC Affiliate Application

As this form is both your receipt and our primary method of acknowledging your support, we ask that you complete all fields.   Yes, we support the Association of Collecting Clubs and would like to become an Affiliate member at $25.00 per year.   Name: E-Mail Address: Mailing Address:     Payment: Our check or money order, in U.S. funds is enclosed We prefer to make our payment using a credit card:           VISA    MasterCard    American Express

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