Buffalo Old Time Radio & Nostalgia Club
Buffalo, New York
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APPLICATION FOR MEMBERSHIP

The Old Time Radio & Nostalgia Club   (Buffalo, New York)

Established 1975

(Please print or type)

Name: _______________________________________________________________
Address:_____________________________________________________________
City, State, ZIP Code:  _____________________________________________
Telephone Number:________________________________________________
E-mail Address: _____________________________________________________
Hobbies: _____________________________________________________________

________________________________________________________________________
(Note: Phone number and/or E-Mail address is important for contact information)

Please answer the following questions:
1. What recorders/players do you own? Open Reel (  )* Cassette(  )* Compact Disc (  )
2. Do you have an old-time-radio collection? Yes (  )   No (  )
3. If not, do you plan to start one? Yes (  )   No (  )
4. What types of radio shows were your favorites? Comedy (  )  Drama (  )  Mystery (  ) Quiz (  )  Adventure (  ) Music/Variety (  )  Soaps  (  )  Kid Shows (  )  All Types (  )
5. Do you own any radio-related memorabilia that could be copied or displayed at meetings?
Old Radios (  )  Photos (  )  Radio Magazines (  )  16-Inch Transcriptions (  )  Scripts (  )   Ads (  )   Other (please specify):__________________________________
6. Are you a member of any other OTR clubs? Yes (  )   No (  )
If yes, which ones? __________________________________________________


Dues:   $20.00 per year from January 1 to December 31.  Members receive a tape library listing,   reference library listing and a monthly newsletter (except July & August).  Renewals for digital edition are at the rate of $12.00 per year.  All renewals should be sent in as soon as possible to avoid missing issues.  Please be sure to notify us if you have a change of address, phone number, or e-mail address. 

 

Enclosed please find my check or money order in the amount of $______ to cover my dues for
(  ) one year


(  ) two years.

Signature: _________________________________ Date: ______________ Mail to:

Old Time Radio Club
56 Christen Ct.
Lancaster, NY 14086



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