FOUR PEAKS COIN CLUB MEMBERSHIP APPLICATION

FOUR PEAKS COIN CLUB

(Formerly the Fountain Hills Coin Club)

PO BOX 20461, FOUNTAIN HILLS, ARIZONA 85269-0461

COIN COLLECTORS WANTED Please join us!

Beginners, Novice & Advanced…Young & Young at Heart are Welcome!

When:           2nd Tuesday Monthly, 5 pm – 8 pm (Buy/Sell/Trade Hour, 5 pm – 6 pm)

Where:         Palisades Business Center (Emerson Art Gallery)

16930 E. Palisades Blvd, Fountain Hills, Arizona 85268

Contacts:      John (480) 231-3896 or Carl (480) 226-0151

Activities:    Numismatic Education (Talks, Presentations, Show & Tell), Buy/Sell/Trade, Auctions, Raffles & Door Prizes, Coin Grading Activities, Evaluation Days, Club Coin Shows, Refreshments and Fellowship

Memberships:       New Adult – $18; Annual Renewal – $12, Lifetime – $60

                                    New Youth – $12; Annual Renewal – $6 (age 15 and under)

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FOUR PEAKS COIN CLUB MEMBERSHIP APPLICTION:

I wish to submit my application for consideration into the Four Peaks Coin Club. I understand that as a member of the coin club, I will be asked to actively participate in all activities, attend regular meetings and have fun while learning and/or teaching about the King of Hobbies…Numismatics!

NAME:________________________________     Adult___ Youth___ Annual___ Lifetime___

ADDRESS:_______________________________  City______________ State____ Zip: ______

PHONE:______________________________  EMAIL:__________________________________

I have been a coin collector for ___ years.  My numismatic interests include:

1)______________________ 2)_______________________ 3)________________________

SIGNATURE:_________________________________________  DATE:___________________For Club Use – Date Paid:____________  Amount:__________  Other:___________________