Membership Application Form Email* Password* Retype Password* Salutation First Name* Last Name* Organization Address* Address line 2 City* State* Zip+4 (Postal Code) Country*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCongoCongo, the Democratic Republic of theCook IslandsCosta RicaCote D'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland Islands (Malvinas)Faroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island and Mcdonald IslandsHoly See (Vatican City State)HondurasHong KongHungaryIcelandIndiaIndonesiaIran, Islamic Republic ofIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyan Arab JamahiriyaLiechtensteinLithuaniaLuxembourgMacaoMacedonia, the Former Yugoslav Republic ofMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesia, Federated States ofMoldova, Republic ofMonacoMongoliaMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestinian Territory, OccupiedPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarReunionRomaniaRussian FederationRwandaSaint HelenaSaint Kitts and NevisSaint LuciaSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyrian Arab RepublicTaiwan, Province of ChinaTajikistanTanzania, United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUnited States Minor Outlying IslandsUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Home Phone Mobile Phone Business Phone Website URL Collecting Interests* If none, please put "none".(Please be as specific as possible, i.e., issues collected, booklets, coils, plate numbers, markings, postal history, first day or other types of covers, etc.) Research Projects, Papers or Articles* Current or Past Projects.... If none, please put "none". APS Member No Yes Are you a current member of the American Philatelic Society? APS Number If you are an APS Member, please provide your APS Membership Number ASDA Member No Yes Are you a current member of the American Stamp Dealers Association? ASDA Number If you are an ASDA Member, please provide your ASDA Membership Number Your References Reference 2 References are not required for Members of the American Philatelic Society. Others should submit two philatelic trade references or names of members of the U.S. Stamp Society, Inc. How did you hear about the US Stamp Society? APS ASDA USSS Member Internet Flier Scott Specialized Ad Dealer Show Other If you selected Dealer, Show or Other above, please elaborate... Membership Information The membership year is Jan 1st – Dec 31st. Regular Dues: Jan-Feb-Mar $25 Apr-May-June $20 July-Aug-Sept $15 Oct-Nov-Dec $30 (Includes 12 months of the following year) Additional Member Donor Levels: (tax deductible and not prorated like regular dues) Sustaining ($30) Contributing ($50) Patron ($90) Monthly Journal postage is prepaid for USA addresses only;Canada add $15.00, other countries $40.00 in U.S. funds. List me as a donor in The Specialist List me as a donor in The Specialist Hardship membership application Check this box to be considered for a hardship membership Select Membership*New/Regular MembershipNew/Sustaining MembershipNew/Contributing MembershipNew/Patron Membership Number of Years* 1 Year 2 Years 3 Years 4 Years 5 Years Additional Donation Optional donation for general use. Unless specifically directed, donations to the USSS are gratefully accepted as unrestricted for the general purposes of the Society. 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