SOCORICO
Membership Application


Complete the following form, then print the entire page and send it with your dues.

Regular membership dues are $15.00 per year in North America ($16.07 via Paypal). The Oxcart is delivered by mail. Dues are $21.00 ($22.37 via Paypal) anywhere else in the world. The Oxcart is delivered by mail. And dues are $10.00 ($10.82 via Paypal) for electronic delivery anywhere in the world, including North America.

Send membership dues together with name, address, telephone number, and email address, and if available, APS number to:


Name
Street
City
State or Province
Country
Zip or Postal Code
Telephone Number
Email Address
Email Address Again
APS Number (if available)