GBCC MEMBERSHIP FORM - SELECT PRINT FROM THE FILE MENU or CLICK HERE TO DOWNLOAD IN PDF FORMAT

GREAT BRITAIN COLLECTORS CLUB
Mail to: Steve McGill, GBCC Secretary-Treasurer
10309 Brookhollow Circle, Highlands Ranch CO 80129-1800

NAME: _____________________________________________________ DATE: ______________

Mr. ____ Mrs. ____ Miss ____ Ms. _____ Other _____

MAILING ADDRESS: ____________________________________________ AGE (if under 18): _______

________________________________________________________________________________

CITY: __________________________________ STATE: __________ ZIP+4/POSTCODE: ___________

COUNTRY:___________________________________________________________

TELEPHONE: Day ________________________Residence _________________________

EMAIL ADDRESS: ___________________________________________________________

May we send you an occasional email with GBCC news and events? Yes ______ No ______

(Email addresses are never given out to other people or organizations)

DUES
North America: US$25 per year
Elsewhere: US$35 per year
You may pay for multiple years. Number of years paid for __________.

You may pay by sending a US Dollar check to Steve McGill at the address above or via Paypal to gbcc1colorado@gmail.com

If you wish to pay with your Visa/Mastercard, please provide the all following information:

Name on card (please print):___________________________________________________

_____Visa or ______ Mastercard

Card Number:  __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __     Expiration Date (MM/YY):___________

Security Code:  __ __ __  (3 digit code on the back of the card)

BILLING ADDRESS (if different from mailing address): ____________________________________________

________________________________________________________________________________

CITY: ____________________________ STATE: __________ ZIP+4/POSTCODE: ___________

COUNTRY:___________________________________________________________

Amount to be charged: $_______US Dollars

Signature: _____________________________________________________________________



HOW DID YOU LEARN ABOUT GBCC? __________________________________________

PHILATELIC ORGANIZATIONS:   APS # _________________

    OTHERS: _______________________________________________________________

PHILATELIC INTERESTS (other than GB): _________________________________________________________


GREAT BRITAIN PHILATELIC INTERESTS

Please indicate a major interest with an XX and a minor interest with an X (mark all that apply).

USED
COVERS
UNUSED
POSTAL STATIONERY
Pre-stamp Era   . _____    
Queen Victoria - Engraved . _____ . _____ . _____ . _____
Queen Victoria - Embossed . _____ . _____ . _____ . _____
Queen Victoria - Surface Printed . _____ . _____ . _____ . _____
King Edward VII . _____ . _____ . _____ . _____
King George V . _____ . _____ . _____ . _____
King Edward VIII . _____ . _____ . _____ . _____
King George VI . _____ . _____ . _____ . _____
Queen Elizabeth II - Commems . _____ . _____ . _____ . _____
Queen Elizabeth II - Wildings . _____ . _____ . _____ . _____
Queen Elizabeth II - Machins . _____ . _____ . _____ . _____
Queen Elizabeth II - Regionals/Other definitives . _____ . _____ . _____ . _____

OTHER SPECIALTIES:
___ Armed Forces ___ Machine Marks ___ Postal History ___ Underprints 
___ Air Mail ___ Newspaper Stamps ___ Parcel Post ___ Ship/Maritime 
___ Booklets (Eras _____________) ___ Numeral Cancels ___ Telephone/Telegraph ___ Channel Islands
___ Railway Stamps ___ Exhibitions ___ Perfins ___ Revenues
___ Other

GBCC Office Use

Date Received: Membership Number:  Amount Paid:
  Sample Sent: Chronicles Sent: