The Official Web Site of the Silver Strikers Club

Mosaic of Silver Strikes

There are 3 ways to utilize this membership application.

  1. Use your browsers print function to print a copy of the membership application and fill it in manually - mail membership application and check for dues to the address below.
  2. Fill out the membership application online - use your browsers print function to print a copy of the completed membership application, mail the membership application and check for dues to the address below.
  3. Fill out the membership application online - click the E-mail button to email the membership application to the Membership Official then click the Paypal button pay your dues with the PayPal link below.

* required field.


Full Name: *

Address1: *

Address2:

Address3:

City/Town: *

State/Province/Regon: *

Zip/Postal Code:

Phone Number:

Email:

My areas of interest are:
 All    Atlantic    Colorado    Nevada    Riverboats

Other interest:

Denominations I collect are:
 All    $2    $3    $5    $7    $10    $12    $20  
 $28    $40    $200    $300  

Other denominations:

Check here if this is a renewal?  Yes  No

May we publish the above information in the club roster?  Yes  No

Sponsor Name (if none write Club Webmaster):

Do you want the club newsletter e-mailed to you (no extra cost)?  Yes  No Email:

Do you want the club newsletter mailed (by Postal Service) for $2.00:  Yes  No

Associate membership for spouses is available for an additional $10.00:

Membership Application Source:  Four Queens  Web  Other

Membership dues payment method:  Check/Money Order  PayPal

Note: Club Membership requires two items, submission of an application and payment of dues. Membership renewal only requires payment of dues unless application information needs updating.

US Currency Only
Make check payable to:
Silver Strikers Club

Mail to: Silver Strikers Club
c/o Jo Riefer
2283 Panoramic Dr.
Concord, CA 94520

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