Token and Medal Society Membership Application

Name

Address

Annual Dues

$40 (within US)

$55 (Canada)

$75 (Elsewhere)

$15 (under 18, receives Journal)

$15 (associate of TAMS member)

Phone

Collecting interests

Other memberships

I hereby apply for membership in the Token and Medal Society. I enclose a check for annual dues for the current calendar year.
I understand my membership includes a subscription to the TAMS Journal.

Signature

Date

Sponsor