THE ADPS STAMP DEALERS SOCIETY
APPLICATION FOR MEMBERSHIP
Please print this page, fill in details, and mail to the ADPS Secretary

NAME IN FULL.................................................................................................................................................................

TRADING AS....................................................................................................................................................................

ADDRESS........................................................................................................................................................................

.........................................................................................................................................................................................

.........................................................................................................................................................................................

POST CODE................................TELEPHONE......................................................FAX.................................................

Email address..........................................................Website URL (If applicable).............................................................

FULL TIME or PART TIME DEALER...............................................................................................................................

NUMBER OF YEARS......................................................................................................................................................

TYPE OF TRADING e.g. Approvals, mail order, lists, fairs, shop, etc;............................................................................

MEMBERSHIP of OTHER TRADE SOCIETIES...............................................................................................................

NUMBER OF YEARS....................................................Membership number[s]..............................................................

REFERENCES OR SIGNATURES OF TWO ADPS MEMBERS.

REF 1. NAME..................................................................................................................................................................

ADDRESS.......................................................................................................................................................................

REF 2. NAME..................................................................................................................................................................

ADDRESS.......................................................................................................................................................................

BANKERS

NAME OF BANK.............................................................................................................................................................

BRANCH.........................................................................................................................................................................

ADDRESS.......................................................................................................................................................................

ACCOUNT NUMBER......................................................................................................................................................
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I hereby apply for membership of the ADPS Stamp Dealers Society and agree to adhere to the Society's Code of Ethics.

SIGNED......................................................................DATED..........................................................................................
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PLEASE RETURN THIS COMPLETED FORM WITH YOUR SUBSCRIPTION OF £25.00 TO THE ADPS SECRETARY:

Mrs. Monica Woosnam, 24 Dysart Terrace, Canal Road, Newtown, Powys, SY16 2JL.
Email. secretaryadps@btinternet.com

Please make cheques payable to: ADPS Stamp Dealers Society
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