18 News - Historic Brass Society
18 News - Historic Brass Society
18 News - Historic Brass Society
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THE HISTORIC BRASS SOCIETY<br />
148 W. 23rd Street, #5F<br />
New York, NY 10011<br />
USA<br />
Tel/Fax (212) 627-3820<br />
email: president@historicbrass.org<br />
2006 Membership Form<br />
NAME:________________________________________________________________________<br />
(First) (Last)<br />
ADDRESS:_____________________________________________________________________<br />
<br />
COUNTRY: ___________________________________________<br />
FAX NUMBER __________________ E-Mail ________________________________________<br />
PHONE NUMBERS: Day________________________ Evening __________________________<br />
Instrument or Field of Interest: _________________________________________________________<br />
Enclosed: Membership Dues (HBS membership year is from January 1st to December 31st)<br />
[ ] $35. or [ ] 30 Euros or [ ] £20 2006 membership for individuals in USA or Canada<br />
[ ] $30. 2006 membership for full-time students or senior citizens (USA only)<br />
[ ] $90. or [ ] 77 Euros or [ ] £52 2006-2008 three-year membership<br />
[ ] $35. or [ ] 30 Euros or [ ] £20 Library/Institution annual subscription rate<br />
<br />
[ ] I have no access to the Internet and wish a printed copy of the HBS <strong>News</strong>letter sent to me<br />
for an additional [ ] $14. or [ ] 12 Euros or [ ] £8<br />
Branch Sorting No. 20.<strong>18</strong>.27, Victoria Park Branch, PO Box 52, Cardif, CF1 9YX, Wales, UK<br />
<br />
Please help the HBS with a tax-deductible contribution.<br />
$ or Euros or £ _______ Contribution<br />
$ or Euros or £ _______ Dues<br />
$ or Euros or £ _______ Back Issues<br />
$ or Euros or £ _______ Total<br />
Please make check payable to: The <strong>Historic</strong> <strong>Brass</strong> <strong>Society</strong>. Checks may be payable in US dollars and drawn on<br />
a US bank or payable in British Pounds Sterling, Eurocheque, or American Express International Money Order,<br />
American Express Card, or US cash. European checks must be in Pounds Sterling.<br />
[ ] I wish to charge my American Express Card<br />
American Express Card # _________________________________________<br />
exp. date: _____/______<br />
Signature __________________________________________________<br />
The HBS can now accept VISA or Mastercard charges through PayPal at www.paypal.com. Please register (for<br />
free) and pay the HBS account. All you need to know is the HBS e-mail address: president@historicbrass.org<br />
Send this membership form and back issue orders to the new HBS Secretary:<br />
Flora Newberry, HBS Membership Secretary. 781 Railroad Ave. Roebling, NJ 08554 USA.<br />
newberry@gmail.com<br />
HISTORIC BRASS SOCIETY NEWSLETTER - WINTER 2005 | 57
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