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Fenton Finders Of Puget Sound
Local Membership Application

Name:________________________________________

Name of Associate:_____________________________

Address:______________________________________

_____________________________________________

City:_________________________________________

State:_______ Zip Code:________________________

Phone #:______________________________________

e-mail:________________________________________

National Membership #:__________________________

Signature:_____________________________________

Date:_________________________________________

Please tell us about yourself:

Collector _____ Dealer ______ Both _______

Annual Dues

$5.00 - Full Membership
$2.00 - each Associate Membership

Please make the Check or Money Order payable to: Fenton Finders of Puget Sound.

Contact Diana Schafer at djschafer@comcast.com for mailing instructions.