PO Box 2210, North Bend, WA 98045, Ph. 425-831-8789, e-mail scottloos@msn.com. Check type of membership for which you are applying: __ Individual (annual dues $7.50), __ Family (annual dues $10.00) __ New __ Renewal __ Upgrade Please type or print: Name: ________________________________________________________________ Address: ______________________________________________________________ City/state/ZIP: __________________________________________________________ Phone (with area code) (optional): __________________________________________ e-mail address (optional): _________________________________________________ Other Family Members: ____________________________________________ Collecting Interest: ________________________________________ How did you hear about us? _________________________________ Signature _______________________________________________ I'd like to see the SCC do the following: ___________________________________________________________________________ ___________________________________________________________________________ |