(Print this page, fill it in, and mail to the address below.)

Membership Application for the National Association of Milk Bottle Collectors

Name:

Phone
number:

Address:

Email Address:

Areas of Specialty in Collection:

Reason for your interest:

Examples - Work in Dairy Industry, Dairy Family, Dealer, or enjoy History/Collecting.

Web Page Address:

Business name (if dealer):

Make checks payable to T.M.R.

Mail this application and checks to:

     	The Milk Route
     	18 Pond Place
	Cos Cob, CT 06807
								

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