Mail to:
Antique Fan Collectors Association
Dick Boswell, Treasurer
2245 Harrison Ave.
Lincoln, NE 68502

Check here for Renewal [  ]         Very First Time Membership [  ]

2009 DUES INVOICE & MEMBERSHIP DIRECTORY UPDATE FORM

Please complete all areas of this form and be sure to give us all corrections
and changes necessary for updating your listing in the directory.

$50.00 (North America)       $25.00 Junior (Under 18, North America)       US$70.00 Foreign (outside North America)
Please remit the proper amount, payable to Antique Fan Collectors Assoc., and return with this form.

Member’s Name________________________________________________________________

Spouse’s Name_________________________________________________________________

Address_______________________________________________________________________

City__________________________________________State______Zip+4__________-_______

Home Phone (_____)______________________Work Phone (_____)______________________

Cell Phone (_____)_______________________Fax Number (_____)_______________________

E-mail Address____________________________________E-mail at home or work?___________

( If you want your email address listed on the website check here [   ] )

URL Address of your website (if any)________________________________________________

Occupation (if retired, from what?)__________________________________________________

How did you hear about the A.F.C.A.?________________________________________________

Other areas of interest_____________________________________________________________

In which areas can you assist the A.F.C.A.?____________________________________________

What time of year is best for you to attend FanFair (our national annual convention)?____________

_____________________________________________________________________________