The Austrian Philatelic Society – Membership Application

Please print this form (it may take two pages), PRINT YOUR DETAILS CLEARLY BELOW, and post it to:

John Anthony, 6 The Eyrie, Winshill, Burton on Trent, Staffs, DE15 0DT, Great Britain

I wish to apply for membership of the Austrian Philatelic Society.

Name: _______________________________________________________________

Occupation or business: ______________________________________________

Address: __________________________________________________________________________________

____________________________________________________________________________________________

Postcode: ____________________ Telephone __________________________________________

Email: ___________________________________________________________
(this will only be used for APS communications and not disclosed to others)

I enclose a cheque drawn on a UK bank for £_____________in payment of _____ years subscription. [Annual Subscriptions are 20GBP (or 30 Euro or 35 USD) per year for airmail to European Union and surface mail to elsewhere) or 23GBP (or 33 Euro or 40 USD) per year for airmail to elsewhere]. Cheques should be made payable to "APS". If you want to pay by credit card instead, please fill in the form below and sign it. [Note that this authorisation is NOT continuous: if you want to pay by credit card in subsequent years you need to fill in the form each time. This restriction is imposed by our card handler.] If you want to pay by some other means such as bank transfer, give details eg on the back of the form.

Please send my newsletters and auction lists as PDF files by email [__]

Signed ___________________________________ Date ____________________

Comments, notes of special interests, etc ___________________________________________________________

_____________________________________________________________________________

Please complete this section if you want to pay by credit card!

To The German Railway Society, as agent for The Austrian Philatelic Society

Please debit my Visa/Mastercard/Eurocard [delete as required; sorry no Amex] credit card account with the sum of £______ being my subscription to the APS. I understand that this charge will carry a surcharge of 5% with a minimum of £1

Credit Card Number _____________________________________________________

Security Number (3 digits on signature strip on reverse of card)__________________

Expiry Date _____________________________

Account name (please print) ___________________________________________________

Signature ____________________________________________ Date ________________________

Don't forget the 3-digit code! Don't forget to sign!