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PINBALL OWNERS ASSOCIATION
Membership Application Form

To join the Pinball Owners Association, simply print out this form, complete the details and send it to the address shown at the bottom with your payment. Your first issue of Pinball Wizard magazine will arrive soon after your subscription request has been processed.

Alternatively, you can now subscribe online and pay using PayPal. To do this visit our new PayPal subscription page now!

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Name: ______________________________________________________________ 

Address: ___________________________________________________________ 

____________________________________________________________________

Post code: ____________________   Country: _________________________

Email address: _____________________________________________________

Telephone: home ____________________  work _________________________


Fees

There are two elements to POA fees (which can be paid in UK pounds sterling or US dollars):

TypeLocation Registration feeAnnual subscription Total
A
UK FREE£18£18
B
Mainland Europe FREE£22£22
C
USA/Canada FREE£25 ($50)£25 ($50)
D
Rest of World FREE£25 ($50)£25 ($50)

Please enroll me for membership of the PINBALL OWNERS ASSOCIATION, to receive four copies of the new full-colour Pinball Wizard magazine, issued quarterly:

Subscription type required: ________ (A, B, C or D)

You may also enroll additional Family Members for an annual subscription of £0.50 ($1) each (no registration fee is payable for Family Members). These members do not receive their own personal copies of Pinball Wizard and must live at the same address as the corresponding full member.

Additional family members required: ________

Total Remittance Enclosed: __________ (remember to include registration fee, annual subscription and any additional family members' fees)

I enclose a cheque/Postal Order/International Money Order in either UK pounds sterling or US dollars for the amount shown above. (Cheques must be made payable to the Pinball Owners Association.)

For Our Information

How did you learn of the POA (if not through these Web pages)?

_____________________________________________________

If you were introduced by a current POA member please give their name and Membership Number:

_____________________________________________________

Signature: _____________________ Date: ________________

Please return this form with your payment to:

Pinball Owners Association,
"Kilndown",
31 Earlsmead Crescent,
Cliffsend,
Ramsgate,
Kent,
CT12 5LQ,
UK

[Prospective UK members please note that in order to comply with the Data Protection Act only information directly related to mailing is stored on computer]

Summer 2007

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