New Member Sign Up Form


To pay by Credit Card paypal, please select the membership option desired, verify the information we have on file and click the "submit" button below (Paypal opens in pop-up Window, Requires Pop-ups be enabled) To pay by check(drawn on a US Bank in US Dollars) or Money Order

Mail your payment to :
Asmic Secretary
421 West Broadway - Apt 5131
Long Beach, CA 90802

New Member Profile

Name

Address:

Foreign Address: (International only)
City:

State or Province (US/Canada):

Zip (US Only):

(Please use 'Zip+4 if known)

Country

NOTE: ASMIC NEVER provides our membership information to any outside source

Phone Number:

May we publish your Phone Number?

Email Address:

May we publish your Email Address to our roster?

Collecting Interests(click letters of those that apply)

New Member Subscription Options:

New Member Subscriptions are yearly based on the initial date you register and will automatically renew yearly basis.

DIGITAL ONLY Membership:

Domestic Membership:


Canadian Membership:


Germany/UK Membership:


International membership:


Payment Type:

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