ABS Membership Application Form

American Bladesmith Society Inc.
P O Box 1481
Cypress, TX 77410-1481
When completed,  return to address above with your payment.

APPLICATION FOR MEMBERSHIP IN THE
American Bladesmith Society, Inc.

  Personal Information
Full Name.. ___________________________________
Business... ___________________________________
Address.... ____________________________________
City............ ____________________________________
State........  __________________________
Zip Code... _________________
Country....... _________
Evening Phone ........................( ) -
E-mail address ..

Type of ABS Membership (check one):
Regular (Apprentice)  ---------------------      Yearly Dues - $60.00
Associate/Collector.  ----------------------      Yearly Dues - $30.00
Youth program. (18 Yrs, and younger)- Yearly Dues - $15.00
(Out-of-country members, please add $20 for additional postage.)
 
Visa / MC / Amex Card #_____________________________                           
Expiration Date (mm/yy) _______________
Name as it appears on card ___________________________________

Signature ________________________________________        Date: ____________
 
Other Optional Payment Forms
  ....................................................... I will mail in a check.
  .............................. Call me for my charge card number.
  I have enclosed a check for the full amount.


(Optional) Please give us some biographical information about yourself:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
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 Form Published by:    Piccola Knives,  Hughes Springs, Texas, 75656   903-639-3349  11/2004