Table Of Content

APPLICATION FOR CHARTER AFFILIATION WITH THE AMERICAN TOPICAL ASSOCIATION To be eligible for chapter affiliation, your club must have a minimum of three (3) individual ATA members. Club Name: _____________________________________________________________________ Area served: ____________________________________________________________________ Location & Time of Meetings: _______________________________________________________ Club Website (if available): _________________________________________________________ Club Officers (please include name, email address and mailing address for each) President: _______________________________________________________________________ _______________________________________________________________________________ Secretary: _______________________________________________________________________ _______________________________________________________________________________ Treasurer: _______________________________________________________________________ _______________________________________________________________________________ Newsletter Editor: ________________________________________________________________ _______________________________________________________________________________ ATA Representative: ______________________________________________________________ (Must be an ATA member. This contact will receive emailed ATA correspondence and annual update form.) Address to which Topical Time should be mailed (US Chapters only): ________________________________ _______________________________________________________________________________________ Application must include either: ¡ Names of three club members who belong to ATA and membership fee of $35 (US) or $45 (international). Check, PayPal or electronic card through PayPal.com to [email protected]. - or- ¡ Names of six or more club members who belong to ATA (free chapter membership, mid-March to mid-March annually) The club named above agrees to the ATA Philatelic Code of Ethics and to follow the Bylaws of the American Topical Association. The club also agrees to submit to the ATA Chapter Coordinator electronic American Topical Association P.O. Box 2143 • Greer, SC 29652-2143 www.AmericanTopical.org or mailed copies of all club newsletters and annual updates of officer information. If applicable, membership dues will be included with annual updates. Signature of President or Secretary: ____________________________________ Date: ________ ATA/CLUB MEMBER NAMES (with ATA membership number, if known – use back of form or provide separate list if needed) 1. 4. 2. 5. 3. 6. Chapter Affiliation Application, correspondence and club newsletters should be sent to: ANN BYERLY, ATA CHAPTERS COORDINATOR 4525 LAUREL ST NEW ORLEANS, LA 70115-1538 USA email: [email protected] American Topical Association P.O. Box 2143 • Greer, SC 29652-2143 www.AmericanTopical.org