Application

Membership Application: It’s easy to join IH Collectors; you can safely and securely pay with your VISA, Discover or Master Card; there is a link on our home page Club Member Benefits section. You can also print out this form, fill in all the requested data, and mail it in with your $35.00 check (which covers both local chapter and national dues), so that we may begin your membership in the International Harvester Collectors.Make your $35.00 check payable to IH COLLECTORS CHAPTER 14. Please mail check and Application Form to:

IH Collectors California Chapter 14 Inc.  P.O. Box 1471  Folsom, CA 95630

Date: ____________________

Name: ______________________________

Address: ________________________________

City: _______________________________

State: ____________________

Zip Code: _______________

E-Mail Address: ________________________________ (for news alerts and chapter newsletter)

Telephone: __________________________  Date of Birth ________________________

Collector Items You Own:
______________________________________________________________________

______________________________________________________________________

Collector Items You Want To Buy:
______________________________________________________________________

______________________________________________________________________

Comments:
______________________________________________________________________

______________________________________________________________________

Thank you.

To contact us: IHC COLLECTORSCHAPTER 14

PO BOX 1471

Folsom, CA 95630

Phone: 916.983.6415

Email: r_lubiens@juno.com

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