NORTHERN OHIO BIBLIOPHILIC SOCIETY

Application for Membership

Please fill out this form completely and mail with your check, payable to NOBS, Inc. to:

Jane McCullam
NOBS Membership
Cattermole Books
9880 Fairmount Rd.
Newbury, OH 44065

Date:

___________________________________________________

Business/Institution Name:

___________________________________________________

OR

Personal Name:

___________________________________________________

Address:

___________________________________________________

___________________________________________________

Telephone:

___________________________________________________

Email address:

___________________________________________________

Check one:

___ Associate Membership ($25.00)

___ Institutional Membership ($30.00)

___ Dealer Membership ($45.00)

Outside the U.S., please add $5.00 and pay by international money or check drawn on a U.S. bank.