COLLECTORS CLUB MEMBERSHIP FORM

 

Please print this form and mail it with your check for $700 (made payable to Tamarind Institute)
to Tamarind Institute, Collectors Club, 2500 Central Avenue SE, Albuquerque, NM 87106.
We accept checks, VISA or MasterCard.

Name__________________________________________________________________
Address________________________________________________________________
City_____________________________________ State______ Zip ___________
Please provide your shipping address (No PO Boxes please):
Address________________________________________________________________
City_____________________________________ State______ Zip ___________
Phone Number___________________________________________________________
E-mail address___________________________________________________________
VISA or MC number_______________________________________________________
Exp date_______________________  CV2________________
Cardholder's signature______________________________________________________
THANK YOU!