NTHCS Membership Application

(Print this page, fill it in, and mail to the address below.)

Membership Application for the National Toothpick Holder Collectors Society

Name: ___________________________________________

Phone number: _________________________________

Address:

___________________________________________

Business name (if dealer): ___________________________________________

E-mail address: _________________________________________

Do you want your name in the directory? Yes___ No___.

Dues: $20.00 for Individual membership or $25 for two members of the same household U.S. and Canada (U.S. funds). Dues are $23 for single foreign memberships or $28 for two members of the same household. Membership is on a calendar-year basis. This includes subscription to Toothpick Bulletin.

Mail this application and check to:

      NTHCS
      PO Box 852
      Archer City TX 76351

Printed from Collector Online's Web site on the World Wide Web: http://www.collectoronline.com/

Phone: 1-800-546-2941, ex 115