New Member Application

Join TSNS today.

Get our journal, TennCoin News, headed your way.

To join TSNS, print this page, fill in the blanks (please print), and send with a $7 yearly dues check to: Blenda Brush, Box 569, Selmer, TN, 38375. (JBrush2@bellsouth.net).

Name: _______________________________________________________________________

Business Name (if applicable): _____________________________________________________

Telephone number : ________________Email address: __________________________________

Street Address: _________________________________________________________________

City, State, Zip: _________________________________________________________________

Birthdate _______________________________ [Only required for Junior & Life (age 50+.]

Other numismatic organizations: _____________________________________________________

__ Regular ($7.00/year)

__ Regular ($18.00/three years)

__ Life (ages 18-50) ($150.00)

__ Life (ages 50+) ($75.00)

__ Junior (under 18 years old) ($2.50/year)

(Please print this page).