INTERNATIONAL  BANK NOTES  SOCIETY •
INDIA  BANKNOTE  COLLECTOR\'S  CHAPER

C/O Marudararts ,#85 M.G. Road, Bangalore 560 001, India.

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Membership Application Form
Name in Full :
Address :
Pincode:
City:
State:
Country:
Mobile:
Email:
Facsimile No:
Website:
Collecting Interests:
Are you a banknote dealer?
If you are a member of an IBNS Chapter, indicate the chapter :
Do you want the following in IBNS-IBCC Directory?
Postal Address & Website:
Email:
Do you want the following displayed in the PDF Version of IBNS-IBCC Directory?
Postal Address & Website:
Email:
Do you want your name and email address posted on IBNS-IBCC website?(For access by members only)
How did you find out about the IBNS India Banknote Colletor's Chapter?(add a tick)
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Select the most appropriate region in which you live : (add a tick)
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Name Membership No. Known to candidate for
PROPOSER Years
SECONDER Years
Select the type of membership :
Date of Brith (Junior Applicants Only) :
Membership type description Fee Amount in INR
REGULAR / INDIVIUAL.Any person 18 years of age or older who is interrested in paper currency and is in sympathy with the aims and objectives of IBNS India banknote Collectors Chapter may apply for regular membership. Rs. 250/- p.a.
JUNIOR.Availble to yount people, under the age of 18, who are interested in paper money.The application for membership has to endorsed by a parent or legal guardian. Rs. 150/- p.a.
(Under 18 years)
LIFE: Lifetime Membership Rs. 2500/-
FAMILY: Family membership issued in the name of an individual applicant who would otherwise be eligible for regular membership It includes the applicant and immediate family (spouse and minor children) listed on the application. Rs. 500/- p.a.
GROUP: Non-IBNS / IBNS IBCC-affiliated numismatic firms, clubs or societies, libraries, museums, archives, schools, or similar organizations are eligible for group membership.They pay the same subscription rate as regular individual members. Rs. 1000/- p.a.
INSTITUTIONAL: Financial Institutions. Rs. 5000/- p.a.
Banking details for the required payment :
Please note that by completing this form you will be applying for membership of the IBNS India Banknote
Collector Chapter.
On receipt of your application and payment, you will be sent a confirmation on being accepted as a member.

Applicant Signature