Membership Form

SOUTH CAROLINA MILITARY MINIATURE SOCIETY (SCMMS) ANNUAL MEMBERSHIP DUES

YEAR 7/1/11-6/30/12

AMOUNT: $10.00 ($5.00 after Jan 1)

COLUMBIA CONTINGENT MEMBERS, PLEASE MAIL THIS FORM WITH CHECK MADE PAYABLE TO SCMMS TO SECRETARY:

LOUIS C HOUCK
23 HILLSIDE CIRCLE
LEXINGTON, SC 29073-8821

CHARLESTON CONTINGENT MEMBERS, PLEASE MAIL THIS FORM WITH CHECK MADE PAYABLE TO SCMMS TO:

MARVIN PONTIFF
2795 GASTON GATE
MOUNT PLEASANT, SC 29466

MEMBER NAME: ______________________________________________________

ADDRESS: ____________________________________________________________

CITY: _________________________________________________________________

STATE ___________________________________________ZIP _________________

* HOME PHONE: ______________________________________________________

* WORK PHONE: ______________________________________________________

*E-MAIL ADDRESS: ___________________________________________________

*= FOR INTERNAL USE ONLY

NOTE: You can receive the monthly bulletin and other info via email, rather than "snail mail."