APPLICATION FORM  (Demande d'adhésion)

 

I, the undersigned, applies hereby for membership in the Swedish Military Postal History Society
Moi, je soussigné demande d'être membre de la Société Suédois d'Histoire Postale Militaire

 

Name (Christian name and family name)::Nom ...............................................................................................................

Date of birth: (Date de naissance)...........................................................

 

Membership of any other philatelic federation or society: ..............................................
Adhésion d'autres féderation ou association philatélique

 

Postal address (Street)::............................................................................................
Adresse postale

 

Zip-code .............................. City: ...................................................... Country: ..........................................

 

I collect: ........................................................................................................
Je collectionne

Other philatelic interests:.........................................................................................................................
Autres intérets philatéliques

 

Place: .................................................Date: ...................................................

 

Signature: .................................................................................................

 

This application form has to be sent to the treasurer: (Veullez envoyer cette fomulaire au:)
Mr. Evert Zetterberg, Blåklocksstigen 40, SE-153 31 JÄRNA (Sweden)

 together with the annual membership fee USD 33,00 (thirtythree dollars) or EUR 27,00 (twentyseven euros)  in bank notes or transferred to our Postal Giro Account No. 27809-3 (Postgirot Bank AB, International Division, 106 01 Stockholm, Sweden). SWIFT-Code (BIC) = NDEASESS
A payer par virement bancaire au
IBAN: SE42 9500 0099 6034 0027 8093 et
Swift adresse = BIC: NDEEASESS