Membership Application
Name:_____________________________________________
Address:___________________________________________
City:________________________State:______Zip:_________
Phone Number_________________Fax __________________
Email Address:______________________________________
What I collect: ______________________________________
Date:_____________
Great
Lakes
Lighter
Club
Instructions:
Annual dues are $35 for U.S. and Canada; $40 for overseas.
Complete the above information and mail a check or money order to Bill Kolk or pay via Paypal to gllc@charter.net. This fee is for your yearly dues, membership card, the club lighter, and lapel pin.
Annual dues are payable beginning January 1st. thru the last day of February. Please have your payment in by then so we know how many club lighters to order.
Members in good standing will receive the annual club lighter, mailings, special offers and swap meet information.
Mail Payment to:
For further info, contact:
For further info, contact: Bill Kolk Len Shorter
Len Shorter 457 East Street P O Box 195
P O Box 195 Coopersville, Mich. 49404 Troy, MI 48099
Troy, MI 48099 Phone: 616-997-6222 Phone 248-693-1137
Phone 248-693-1137