Application for Membership 

Personal Information
Name (please print): _________________________________ Title:_______________
Address: _____________________________________________________
City: _________________________________ State:_______________
Zip: _____________________________Country:_________________
E-mail: _____________________________________________________

I herewith make application for membership in the ACC/BHCC subject to the Bylaws of said Club. I also agree to abide by the Code of Ethics adopted by the Club.

________________________________________              ____________________
Signature of Applicant Date
___________________________________________________________________
Signature of Parent or Guardian (required for applicant under the age of 18)

 

Payment Type

Check                   Money Order                    Cash

 

Types of Membership and Dues

1. Regular Membership 1 year $39
2. Bronze Membership 3 years $95
3. Silver Membership 5 years $150
4. Gold Membership 10 years $250
5. Platinum Membership Lifetime $450
6. Junior Membership (Under 18 years of age) 1 year $12

Send Application together with your payment to Beverly Hills Coin Club, 9903 Santa Monica Blvd #951, Beverly Hills, CA 90212.

 Beverly Hills Coin Club
9903 Santa Monica #951
Beverly Hills, CA  90212

Questions? Need Help?  email info@bhcoinclub.org

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