3100 N Highway A1A PHA1
Fort Pierce FL 34949-8831
USA
International Members have the option to use
for remittance of funds.Click here for instructions.
Please printout this form on your printer. OK to Publish in
Membership Directory
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Also, please see the Membership Census Form for additional questions. The form is optional but your participation is appreciated!
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$ ___________ DUES (see rates below) Differences reflect mailing costs for The Portolan. United States $37 for 1 year; $72 for 2 years; $105 for 3 years Canada: $42 for 1 year; $82 for 2 years; $120 for 3 years Rest of the World: $56 for 1 year; $110 for 2 years; $162 for 3 years $ ___________ Tax Deductible Contribution to support The Portolan and other projects (thank you!) $ ___________ Total |
Please make your check payable to the Washington Map Society and mail it with this form to:
John W. Docktor
3100 N Highway A1A PHA1
Fort Pierce FL 34949-8831
USA
International Members have the option to use for remittance of funds.
Click here for instructions.