NOBS Membership Form

NORTHERN OHIO BIBLIOPHILIC SOCIETY: Application for Membership

Please print and complete this form, and mail with your check, payable to: NOBS, Inc.

Jane McCullam
NOBS Membership
Cattermole Books
9880 Fairmount Rd.
Newbury, OH 44065

Date: _______________

Business/Institution Name:
______________________________________________________

OR

Personal Name:
______________________________________________________

Address:
______________________________________________________
______________________________________________________

Telephone:
__________________________________

Email address:
__________________________________

Check One:

_____ Individual Associate Membership ($25.00)
_____ Institutional Membership ($30.00)
_____ Dealer Membership ($45.00) [vendor’s license and tax number required]

Outside the U. S., please add $5.00 and pay by international money order or check drawn on a U.S. Bank.

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