National Council of 56 Clubs
Member Club Membership Form


Name of Club__________________________________________

Location & Dates (months & day) of meetings_______________________________________________________

________________________________________________________________________________

City Where Club Meets______________________________________

NCC REP______________________________________________

Address_______________________________________________

______________________________________________________

Phone_______________________ Fax_______________________

E-mail Address______________________________________

CLUB PRESIDENT______________________________________

Address_______________________________________________

______________________________________________________

Phone_______________________ Fax_______________________

E-mail Address______________________________________

CLUB EDITOR______________________________________

Address_______________________________________________

______________________________________________________

Phone_______________________ Fax_______________________

E-mail Address______________________________________

Current total number of individual club members ______________

National Council Annual Member Club Dues $36

All Memberships are subject to approval by the Board of Directors, hereinafter referred to as the Board, and are not transferable. Member Clubs must be independent, self governing Collectors' Clubs with:
1. duly elected officers.
2. bylaws compatible with those of the NCC.
3. at least ten (10) dues paying members.
4. at least four (4) meetings per year.

By submitting this application, the applicant club agrees to abide by the NCC Purpose, the NCC Bylaws, and any special rules or amendments adopted by the NCC thereafter, and hereby certifies that the applicant club meets all requirements/ qualifications set forth above.

_________________________________________________________________    Date_________________
                Signature of Club Representative

Make Check Payable to:
National Council of 56 Clubs
and Mail to:
National Council of 56 Clubs
Box 31
New Hartford, CT 06057