| Lighthouse Stamp Society Application |
| Name | _____________________________________________________________ |
| Address | _____________________________________________________________ |
| _____________________________________________________________ | |
| Phone | _____________________________________________________________ |
| _____________________________________________________________ |
I collect: 
| _____ | mint stamps |
| _____ | used stamps |
| _____ | souvenir sheets |
| _____ | US first day covers |
| _____ | foreign first day covers |
| _____ | stationery items |
| _____ | lighthouse cancels |
| _____ | commemorative & show covers |
| _____ | local posts |
| _____ | cinderellas |
I belong to: (please give membership numbers)
| _____ | APS |
| _____ | ATA |
| _____ | International Society of Worldwide Stamp Collectors |
| _____ | Others |
| Dues - please send a check for US$12.00 for US membership or US$15 for Canada dues or US$20 foreign airmail membership or PDF Electronic membership via email $10 anywhere. Lighthouse Stamp Society Dalene Thomas 8612 W. Warren Lane Lakewood, CO 80227-2352-24 |
| Payment can also be made via PayPal to dalene@lighthousestampsociety.org |