Dr. Holger Selisky, Bruchsaler Weg 1, D-76344 Eggenstein-Leopoldshafen, Germany
bank: Sparkasse Karlsruhe, bank code: 66050101, bank account: 108064361
IBAN: DE44 6605 0101 0108 0643 61;      SWIFT-BIC: KARSDE66


REGISTRATION OF MEMBERSHIP

please fill with printed letters,      please mark with a cross if necessary


Herewith I call for membership in the Orchidcover Collectors Club e. V. (OCC)

beginning from .........................

I promise to pay the annual fee until March 31 for the current year or within three month after joining.

I want to otain the OCC-journal in german or english


surname: ................................................................ first name: ........................................


date of birth (free): ...............................................


street + no.: ...........................................................


postcode + residence: ........................................... country: ............................................


telephone number: ................................................


e-mail: ...................................................................

I collect the following issues with the theme "orchid".
postage stamps
(all orchids)
    first day covers (FDC)    
postage stamps (European orchids)   postmarks  
postal stationeries   telegrams  
miniature sheets (FDC)   phonecards  

I agree with the publication of my address my telephone number
my e-mail and my kind of collection as supplement in the OCC-journal.
Transmitting these informations to non-OCC-members is not allowed.



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location, date signature