| International Netsuke Society Membership Form | ||
| Enclosed please find my $125 payment for
membership in the International Netsuke Society for one year, including
the International Netsuke Society Journal. We are sorry that we cannot accept checks which are not payable through a U.S. bank. Please make your
check payable in U.S. dollars. Please print and send this form to: |
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| Name: | ||
| Address: | ||
| City: | ||
| State: | Zip: | Country: |
| Tel: | Fax: | E-mail: |
| Visa MasterCard American Express | ||
| Credit Card # | ||
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Expiration month: year |
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| Name (as it appears on card) | ||
| Signature | Date | |
| We
publish a membership directory. Please indicate below if you do not
wish to be included in the directory. No, I do not wish to be included in the Membership Directory. |
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