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Name
Address
City/State/Zip
Telephone:Work Telephone: Home
Website
Would you like a link on our website?
Years Collecting
What do you collect?
Annual Dues $35
Please make checks payable to ‘Michigan Pen Collectors’
Please send checks to:
Michigan Pen Collectors
c/o Lih-Tah Wong / CMS
20300 Civic Center Drive #300
Southfield, MI, 48076
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