ACCLA Membership Brochure (pdf)
|
|
| Bring completed form* with $15 check to the meeting or mail to: |
Ancient Coin Club of Los Angeles
c/o K. L. Friedman
16255 Ventura Blvd, Suite 1200
Encino, CA 91436-2363 |
| DATE: |
_______________________________________ |
| NAME: |
_______________________________________ |
| ADDRESS |
_______________________________________ |
| CITY: |
_______________________________________ |
| STATE, ZIP: |
_______________________________________ |
| SIGNATURE: |
_______________________________________ |
| TELEPHONE: |
_______________________________________ |
| E-MAIL: |
_______________________________________ |
| PROFESSION: |
_______________________________________ |
| OTHER CLUBS: |
_______________________________________ |
| AREA OF INTEREST |
_______________________________________ |
|
* All fields except name and signature are optional; you must provide a street or e-mail address for contact purposes. Members who provide an e-mail address will receive the monthly ACCLA Notice of Meeting by e-mail. |
