MEMBERSHIP APPLICATION FORM

A.C.E CARNIVAL GLASS

www.acecarnivalglass.org.au

Please print and post completed form

Single/Family/Overseas Membership $30 annually

A.C.E Association Inc.

P.O Box 9317

Sale

Victoria, 3853

Australia

First Name/s ……...…………………………………...........................................

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Surname Name/s ……………………………………………………………...............

Address ………………………………….......................................................

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Email Address ……….………………………………………………………………

Phone Number ……………………………………………………………………….

(Please include area and country codes if necessary)

Would you like to be added to the list of members who are willing to be contacted by other carnival glass collectors from recognised Australian and Overseas clubs.

If you say yes to be added to the list only your phone number or email address will be given so that the collector can make contact and make arrangements directly with you.

YES / NO EMAIL / PHONE NUMBER (please circle your choices, if any)

Signature/s …………………………………..

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Please include a cheque or money order for the required annual fee.