Maine Chapter 89 NAWCC

The National Association of Watch and Clock Collectors

Membership Application & Renewal Form

PLEASE PRINT

 

Date

Make your check payable to:

Name                                                                                             

Maine Chapter 89, NAWCC

Address                                     

New Members:  $20.00

City:/State/Zip                           

Renewals: $20.00

NAWCC No. (required)                            expires: 

Mail Registration to:

Telephone 

Tom Vance

Email Address 

1759 Bristol Road

 

Bristol, ME 04539-3509

SPONSOR’S NAME (if any)_____________________________________________

Please assign a number of 0 to 4, with 4 being the highest interest:

Clocks

 

Pocket Watches

 

Wristwatches

 

My specific interest(s) is (are): ____________________________________________________

______________________________________________________________________________

 

Hobby

Professional

 

Please check all items of interest and level of involvement from 0 to 4 under the appropriate columns.

 

Collecting

 

 

Research

 

 

Repair

 

 

Refinishing

 

 

Restoration

 

 

Buy/Sell

 

 

 

 

 

 

 

 

 

 Please place an "X" to the left of topics you would like covered in presentations or workshops:

 

Collecting Clocks

 

Collecting Watches

 

Purchasing Clocks

 

Purchasing Watches

 

Clock Maintenance

 

Watch Maintenance

 

Shop Machinery and Tools

 

Shop Safety

 

Simple Repairs/Adjustments for Clocks

 

Simple Repairs/Adjustments for Watches

 

Advanced Repairs for Clocks

 

Advanced Repairs for Watches

 

History of  Clocks/Clockmakers

 

History of Watches/Watchmakers

 

===================== Please Don’t Write Below This Line ===========================

FOR CHAPTER OFFICER USE

INTRODUCTION

(  ) President

(  ) Secretary

(  ) Treasurer

TO OFFICERS

(  ) Vice President

(  ) Assistant Secretary

(  ) Assistant Treasurer

MENTORING BY DIRECTOR _____________________________________________________

CHAPTER GUIDE __________________________________________ (Designated by Director)            

CONSTITUTION & BY-LAWS (  ) Issued & reviewed by a director

INDUCTION DATE ________________ INDUCTED BY _______________________________

TREASURER’S CERTIFICATION  (  ) DUES PAID         (  ) MEMBER OF NAWCC

MEMBERSHIP CARD # _______ (  ) ISSUED ______________________________ (Treasurer)