APS
APS Affiliate 96
Membership Application

Complete the following form, then print the entire page and send it with your dues (or print out the following 2020membership.pdf).

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

  • Socorico
    Attn: Leslie Bissell
    4411 Lloyd St
    Kansas City, KS 66103
    or email to kcleslieb@gmail.com
    We are unable to accept electronic payments at this time.
    We are working on it and will let you know when we can do so.

Name
Street
City
State or Province
Country
Zip or Postal Code
Telephone Number
Email Address
APS # (if available)
$10) Membership with all the privileges/rights and electronic subscription of The Oxcart. ($10.00 by payPal).

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