MEMBERSHIP
APPLICATION
If you would like to join CPCC we have created an easy to use electronic application
form. please fill out and submit the membership application form by pressing the submit
button at the bottom of the form. A standard membership form that can be printed and sent
is also available below the electronic form. For ease of printing a link to a page with
only the printable form is available by clicking here or on the
link below. Member dues will need to be paid before the news letters will be sent. We will
be happy to contact you by the method you choose below.
Click here for the Printable version
Chicago Playing Card Collectors, Inc.
Application for Membership
NAME _______________________________________________
ADDRESS ____________________________________________
CITY_________________________________________________
STATE _______________________________________________
ZIP __________________________________________________
COUNTRY_____________________________________________
E-MAIL________________________________________________
BIRTHDAY (Month) _______ (Day) _________
AGE (If under 16 years) __________
RECOMMENDED CPCC TO YOU ________________________________
WILL YOU COLLECT SINGLES, DECKS OR BOTH? _________________
WILL YOU TRADE BY MAIL? ___________ SPECIALTY?______________
COMMENTS __________________________________________________
* * * * *
I understand that the object of CPCC is to encourage and promote the hobby
of collecting playing cards; to acquire and disperse knowledge of such cards; to cultivate
fraternal relations among collectors and students; to encourage and assist new collectors;
to foster the interest of youth in the subject; and to stimulate affiliations between
collectors in the USA and foreign countries.
I will abide by the rules and regulations of the constitution and bylaws of this society.
Failure to do so will subject me to suspension in the club.
* * * * *
DATE ____________ APPLICANT SIGNATURE __________________________
If under 16, signature of parent or guardian___________________________
Membership Dues
ADULT JUNIOR
SENIOR
15 Yrs. old and under 65 and over
U.S. & Canada _____ $25.00 _____ $14.00 _____ $21.00
Two Year dues _____ $43.00 _____ $22.00 _____ $36.00
Overseas _____ $30.00 _____ $16.50 _____
$27.00
Overseas 2 Yrs. _____ $58.00 _____ $28.00 _____ $48.00
Note: All overseas members will receive the Newsletter via Airmail.
Please mail application with check payable to:
CPCC, Inc.
c/o Betsy Behrendt
1319 East Sanborn
Palatine, IL 60067