UNPI Membership Application

Name:
Street Address:
City
State
Country
Zip Code
Email Address
APS Membership #
ATA Membership #
	New Applicant OR Renewal
(If Renewal) UNPI Membership# from Mailing Label
(If A New Member) How Did You Find Out About UNPI	A UNP Member
	The UNP Web Site
	UNP Journal or Monograph
	UNPA Philatelic Bulletin
	Other
UN Collecting Interests: (Optional)
Do you want your name, address, and collecting interests published for use of other UNPI members? Yes Do we have your permission to publish your name, e-mail address, and collecting interests for the use of other UNPI members? Yes
Any member (US, Canadian & International) with Internet access can choose Electronic only (no printed Journal). You must provide valid e-mail address above to do so.
If joining after July 1, you may choose to join for 18 or 30 months. If paying online through PayPal, $1 - 7$ is added to cover PayPal fees - prices in red.
One year: Electronic Only dues $18 ($19)	18 months: Electronic Only dues $27 ($29)
One year: US dues are $28 ($30)	18 months: US dues are $42 ($44)
One year: Canada dues are $35 ($37)	18 months: Canada dues are $52.50 ($56)
One year: Foreign dues are $50 ($52)	18 months: Foreign dues are $75 ($79)

Two years: Electronic Only dues $36 ($38)	30 months: Electronic Only dues are $45 ($47)
Two years: US dues are $56 ($59)	30 months: US dues are $70 ($73)
Two years: Canada dues are $70 ($73)	30 months: Canada dues are $87.50 ($91.50)
Two years: Foreign dues are $100 ($105)	30 months: Foreign dues are $125 ($131)

Three years: Electronic Only dues $54 ($56)
Three years: US dues are $84 ($88)
Three years: Canada dues are $105 ($110)
Three years: Foreign dues are $150 ($157)

Send application and payment (Make payable to "UNPI") to:

Chris Dahle
Treasurer
1401 Linmar Dr NE
Cedar Rapids IA 52402
U.S.A.