Museum of Gaming History
An Educational Project of The Casino Chip & Gaming Token Collectors Club, Inc.
An IRS approved 501 (c) (3) Tax Exempt Not-For-Profit Corporation
ChipGuide
ChipGuide - A Catalog of United States Casino Chips and Collectibles
CC&GTCC Application

Membership Application
The Casino Chip and Gaming Token Collectors Club, Inc.

Name:
Address:
City:
State: Zip: 
Phone: E-Mail:
Collecting Interests: Chips       Tokens       U.S.       Foreign       Other
Please publish my: Name and Address       Phone       in the club membership directory
Please publish my name, E-Mail address and collecting interests on the club web page: Yes       No
Do not publish my information in either

I have enclosed my annual dues for:One Year $30 3rd Class Delivery
Associate $5 Member in same household as a regular member
Foreign $55 Postal money order or US funds
For FIRST CLASS magazine delivery add $14 (U.S. Only)
Foreign mailings are First Class, regular mailings are Third Class unless First Class is added.

Print this completed application and mail with your check made out to CC&GTCC to:
CC&GTCC Membership Officer
Steve Bedo
1215 E Dalton Ave
Glendora CA 91741

Sponsored by Greg Susong, Member #R-2120