please print

Name: __________________________________________________

Address: ________________________________________________

City:______________________________ State:________ Zip:________________

email:_________________________________________

phone:___________________________________

birth date:________________________________

Check one:     New_____      Renewal_____	   one year $15 two years $25 lifetime $60

 ** A new member must wait 2 months from joining to be able to do a show **

Make checks payable to: Twin Cities Sports Collectors Club

Mail to:
	Dave Bonde
 	1217 Central Ave
	Red Wing, MN  55066