Print the following membership application using your browser's "print"button. After printing this page use your browser's "Back" button to return to the FBICC website. Mail the completed form to:
Flow Blue International Collector's Club, Inc.
c/o Jim Swan, Membership Chairman
P.O. Box 442464
Lawrence, KS 66044
Members Name(s):____________________________________________________________
Address:_____________________________________________________________
City/State/Zip:________________________________________________________
Phone: _______________________ FAX:______________________
E-Mail:_______________________________________________________________
Favorite Patterns (Limit 3)
____________________________________________________________________
New Member: _____ Renewal: _____
____ Please check if you do NOT want your name and address listed in the club roster.
Date:_______________ Year Paying For: 200__
(Dues year: January 1 through December 31; dues are delinquent after January 15; members enrolling/renewing after January 15 will NOT be listed in Club Roster.)
DUES: $39.00
Outside U.S.: add $10.00
TOTAL: ________
Dues include up to two people same address
U.S. CURRENCY ONLY