REQUESTS JRCS
JOHN REICH COLLECTORS SOCIETY
P. O. BOX 135,   HARRISON, OH 45030

JRCS # ___________
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The purpose of the John Reich Collectors Society (“JRCS”) is to encourage the study of numismatics, particularly United States silver and gold coins minted before the introduction of the Seated Liberty design, and to provide technical and educational information concerning such coins. A member’s name and address will not be included in any membership directory issued by JRCS or be disclosed to others without prior consent of such member.

Are you a

Indicate your area(s) of interest in Early United States Coins:

a Flowing Hair Bust Half Dimes 
b Draped Bust Half Dimes 
c Capped Bust Half Dimes 
d Draped Bust Small Eagle Dimes 
e Draped Bust Heralic Eagle Dimes 
f Capped Bust Dimes 
g Draped Bust Quarter Dollars 		 h Capped Bust Quarter Dollars 
i Flowing Hair Bust Half Dollars 
j Draped Bust Half Dollars 
k Capped Bust Half Dollars 
l Flowing Hair Bust Dollars 
m Draped Bust Dollars 
n Gold Issues 

I request only a sample issue of the John Reich Journal. After filling in the above boxes, press this button.

I hereby apply for membership in JRCS. (Provide the above information, print this page on your printer, and mail it with payment.) As required by the By-Laws of JRCS, I agree to pay promptly all my debts or other obligations to JRCS or any of its members. I enclose a check or money order for $20.00 payable to “John Reich Collectors Society” for my annual membership contribution, or $500.00 for a life membership in the Society.

If applying for reinstatement, please give your former JRCS member # 

Guarantee (if Applicant is under 21 years):
I guarantee payment by the Applicant of his / her debts or other obligations to JRCS or any of its members.  I am 21 years or older.

___________________________________________
(Signature of Guarantor)
Relation to Applicant ___________________________		 Applicant's Agreement
I agree to uphold the By-Laws of JRCS.

_____________________________________________ 
(Signature of Applicant)
John Reich Collectors Society (Employer Identification No. 34-1427467) is exempt from Federal income tax under Section 501(c)(3) of the Internal Revenue Code. As such, gifts and contributions made to John Reich Collectors Society may be deducted as provided in the Internal Revenue Code.

I want to receive the JR Newsletter via e-mail. The JR Newsletter is now the official weekly e-magazine of the JRCS. Although there are no dues or fees of any kind to receive JR News, subscribers are encouraged to join JRCS. Subscription requests should be sent to JRNews@nyc.rr.com.