Application for Membership
in the
Texas Numismatic Association, Inc.

I herewith apply for membership in the Texas Numismatic Association, subject to the association’s Articles of Incorporation,
By-Laws, and other rules and regulations, and tender $___________________ for dues.

Mr., Mrs., Miss.,______________________________________________________________ Date___________
                                   Type or Print Name as you want it on Roster

___________________________________________________________________________________________
                                                           Business Name or  d.b.a.

Street or P.O. Box_____________________________________________________________________________

City _______________________________________________State _______________Zip___________________

eMail_________________________________________________ Phone#________________________________

Under 18 yrs. of age__________18 or over _______________

Applying for:
Regular________ Associate__________ Junior_________ Chapter________

___________________________________________________________________________________________
                                                              Collecting Interest

___________________________________________________________________
            Signature of Applicant

___________________________________________________________________
             Junior Applicant: Signature of Parent of Guardian

________www.tna.org______________________TNA#________________
            Signature of Proposer

TNA Dues:

Please Mail Completed Application To:

Texas Numismatic Association
Hal Cherry (Secretary)
P O BOX  852165
Richardson, TX  75085-2165