Copy and paste the following form into an email and email amsanewsmedals@gmail.com

OR

Print out the outline form, fill out with your information, and mail to P.O. Box 1201, Edmonds WA, 98020


Name: __________________________________________________________________

Address: ________________________________________________________________

__________________________________________________________________________

Email: ___________________________________________________________________

Phone: ___________________________________________________________________

What is your involvement in medals?
(Artist, designer, collector, other?)

___________________________________________________________________________

___________________________________________________________________________

___________________________________________________________________________

When finished, click HERE to go back to the membership options.