Print and Mail CC&GTCC Membership Application

State: Zip: 
Phone: E-Mail:
Collecting Interests: Chips       Tokens       U.S.       Foreign       Other
Please publish my: Name and Address       Phone       in the club membership directory
Please publish my name, E-Mail address and collecting interests on the club web page: Yes       No
Do not publish my information in either

I have enclosed my annual dues for:One Year $20 3rd Class Delivery
Associate $5 Member in same household as a regular member
Foreign $35 Postal money order or US funds
For FIRST CLASS magazine delivery add $12 (U.S. Only)
Foreign mailings are First Class, regular mailings are Third Class unless First Class is added.

Print this completed application and mail with your check made out to CC&GTCC to:
CC&GTCC Membership Officer, Ralph Myers, PO Box 35769, Las Vegas, NV 89133-5769