The Mexican Coin Magic
(14) Collector Registration Form
This registration form is for the use of Mexican coin collectors only. This form will allow others to communicate with you that have the same collecting interests. It is our sincere desire that you will, at the bare minimum, give us your Email address and your general collecting interests. All other information is optional, unless you want to use the Mexican Coin Magic Ad Desk, then you must complete entire form to receive your Mexican Coin Magic Registry number.
My Name: ________________________________________
My Email Address: ___________________________________ Date: __/__/__
Mexican Coin Collecting Interests: _______________________________________
Please contact me by email with new info about my collecting interests… [_] Yes [_] No
List me in the Coin Magic Directory… [_] No [_] Yes [_] Email Only [_] Phone
Optional Information:
Other Collecting Interests: ____________________________________________________
Name: ________________________________________ Age: ____ Sex: [_] Male [_] Female
Home Phone: ___________________ Hours to call: From ___to ___ Fax: _____________
Business Phone: ___________________ Hours to call: From ___to ___ Fax: _____________
Mailing Address: ______________________________________________________
Address, (cont.) _______________________________________________________
[_] Yes, I currently collect Mexican Coins-
[_] No, I do not collect Mexican coins yet, but please add my name to list
[_] More Information about my collecting interests: ____________________________________________________________________________
Please return this form to MexicanCoinMagic@aol.com
or mail it to: FoxLair Partners, PO Box AJ, Port Isabel, Texas, 78578, U.S.A
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