APPLICATION FOR MEMBERSHIP IN THE
AMERICAN VECTURIST ASSOCIATION
Complete this form and send it to: RICHARD MALLICOTE, AVA Secretary, 655 WINTERGATE COURT, ALPHARETTA, GA 30022-5584

SELECT MEMBERSHIP OPTION

Enclose $25 if you are joining prior to June 30 in any calendar year. (U.S. only)
Enclose $12.50 if you are joining after July 1st in any calendar year. (U.S. only)
Enclose US$28, if you reside in Canada. (US$14 after July 1)
Enclose US$37, if you reside outside North America (US$18.50 after July 1)
Enclose Full Year Dues after July 1, to include Full Year of THE FARE BOX.
NAME____________________________________________AGE_______

STREET ADDRESS_________________________________________________________________

CITY/STATE/COUNTRY ___________________________________________ZIP + 4__________

OCCUPATION_______________________________________

WHAT TYPE(S) OF TOKENS DO YOU COLLECT: (First three - Transportation Tokens)
U.S. CANADA FOREIGN PARKING CAR WASH
PUBLICATION ORDER FORM (Check the publications you wish, and enclose the price plus shipping if you reside outside of the US.) (Retail and Member’s price, includes shipping within the US.)
Vol. I, 6th Ed. (2007) of the Atwood-Coffee Catalogue (960 pgs) Transportation Token Listings, $37 postpaid in USA, (US$40 Canada ppd), (US$46 outside North America ppd)
Vol. II, 4th Ed. (1984) of the Atwood-Coffee Catalogue (776 pgs) History & Encyclopedia of TT's w/photos, $20 ppd in USA, (US$23 Canada ppd), (US$29 outside North America ppd)
Vol. III, 4th Ed. (1986) of the Atwood-Coffee Catalogue (946 pages) Token Minor Die Varieties, Illustrated, $26 ppd in USA, (US$30 Canada ppd), (US$35 outside No. America ppd)
Car Wash Tokens Of North America, 2nd Ed. (2001) (330 pgs), $25 ppd in USA, (US$29 Canada ppd), (US$34 outside North America ppd)
Land Company & Real Estate Tokens (110 pages), Lots of photos. $10 postpaid in USA, (US$13 Canada ppd), (US$18 outside North America ppd)
Supplements: Catalogue of World Transportation Tokens (3 Vols.) – Contact: Kirk S. Smith, PO Box 8015-214, Redondo Beach, CA 90277-8015
(U.S.) Parking Tokens – Contact: Joe Pernicano, 58 Sonia Lane, Broomall, PA 19008
US/Canada Transportation Tokens - Contact: John M. Coffee, PO Box 961207, Boston, MA 02194-1207
World Transportation Tokens – Contact: Bill Weber, 6758 KOA Dr., New Tripoli, PA 18066

I agree that if I am elected to membership in the AVA, I will abide by the Constitution and By-Laws of the American Vecturist Association and its Code of Ethics.

Signed:______________________________________________________________________ Date: ____________
(If you are under age 18, have your parent or guardian sign and approve this application)

Your Membership Card, a copy of the Constitution/By-laws and the Membership Roster will be sent ten days after your name is published in THE FARE BOX.

Proposed by__________Bob Schneider_____________________AVA#__R-2317__