Membership Application

Membership Application/Renewal Form
Due January 1st (Fiscal year: January 1--December 31)

Membership Number (if renewal) *

Choose Any *

New Membership ($15.00 Individual or $25 Joint at same address) Renewal ($15.00 Individual or $25.00 Joint at same address) Life Membership ($150.00 Individual or $250.00 Joint at same address)

* Indicates required field

Name(s) *

Address *

City, State, ZIP *

Does Currier & Ives Dinnerware Collectors have your permission to publish this information in our membership listing? (Yes) (No)
(will be a form field after upgrading plan

Phone will be here after upgrading plan

Email will be here after upgrading plan

Check or money order payable to C & I Dinnerware Collectors.
Fill out form, print, and mail with payment to:
Mark Skrobis, Treasurer
3703 South 46th Place
Greenfield, WI 53220

Submit

Membership Form