Membership applications should be sent to Eric Holcomb at the following address:

Eric Holcomb Company
1900 NE 3rd St STE 106 PMB 361
Bend, OR 97701-3889
Phone 541-647-1021, e-mail eric@holcomb.com.

Renewal-only payments may also be sent directly to the PNNA treasurer for faster check processing:

Scott Loos (PNNA Treasurer)
PO Box 2210
North Bend, WA 98045
Phone 425-831-8789, e-mail scottloos@msn.com.

Application date: ________________

These are the online newsletter rates.
For mailed paper copies, please add $5.00 per year except for clubs and individual life memberships.
__ Individual ( __ annual dues $10, __ 3-year dues $25)
__ Family ( __ annual dues $15, __ 3-year dues $37.50)
__ Young Numismatist up to age 21 (annual dues $5; proof of age may be required)
__ Individual Life ($200)
__ Club ( __ annual dues $15 x __ years = _____)

__ NEW __ RENEWAL __ UPGRADE

Please type or print:

Name(s): ________________________________________________________________
A company name may be included, however the PNNA also requires the name of the responsible individual. For clubs, please attach club name and information.

Address: ______________________________________________________________

City/State/ZIP: __________________________________________________________
Mailed newsletters are available for U.S. and Canadian addresses only.

Phone (with area code): __________________________________________

email address: __________________________________________
Note: email must be provided unless paying the $5.00 annual premium for paper newsletters.

I'd like to see the PNNA do the following: ____________________________________________________________________
____________________________________________________________________

PNNA use only: Amount received: $__________ Membership # __________ Date assigned __________