MEMBERSHIP APPLICATION
  { click here for membership application in PDF format }

Requirements:  
    
    
    

  Own five original Mechanical Banks. 
  Have a member in good standing write a letter of recommendation 
      verifying the originality of your collection.
  Pay annual dues of $45.00 with a check made payable to MBCA.

  Personal Information:                                                                    Date of Application _________________
 Your Name:  First __________________ Initial ________ Family Name ________________________________
 Spouse's Name:  First __________________Initial _______ Family Name_______________________________
 Address: ___________________________________________________________________________________
 City ________________________________ State ________ Zip Code _____________Country ______________
 Business Address (optional) ____________________________________________________________________
 Phones: Home (______)__________________________ Work (optional) (_____)__________________________
 Fax: Home      (______)___________________________ Work (optional) (_____)__________________________
 Email Address: Home____________________________ Work (optional) ________________________________
 Web Site ___________________________________________________________________________________ 
 Names of MBCA members whom you know: ______________________________________________________
 ___________________________________________________________________________________________
 Name of your Sponsor: ________________________________ (please include his/her letter of recommendation)

Additional Information:
 Are you (please circle one):           Collector                Dealer                Collector/Dealer
 Number of Mechanical Banks in your collection? __________________________________________________
 How many years have you been collecting?: _____________________________________________________    
 Other items that you collect: ____________________________________________________________________
Comments:
_________________________________________________________________________________
 _____________________________________________________________________________________________

                    Please forward your application together with a letter of recommendation, and a check
                    for the first year's membership dues payable to the MBCA to the attention of:

  
                    MBCA Secretary
                    Mechanical Bank Collectors of America
                    P.O. Box 13323
                    Pittsburgh, PA   15243 

  
Board of Directors Approval ____________________________________________  Date _____________________


                                                           
                                                       
                                                           

 

 

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