Membership Application

Welcome to membership in Badgerland Oliver Collectors Club. 

Annual membership runs from Jan-Dec. $10 a year.  
_____1 year ($10), _____ 2 year ($20),  _____3 year ($30)

Name ______________________________________
Address ____________________________________
City _______________________________________
State ______
Zip ___________
Telephone _______________
Email _____________________
HPOCA # ___________________

Can we share your information with other members? (Example membership listing, etc)
_____ yes. _____no

Please mail application to
Dan Ansay
546 Silver Beach Rd
Cedar Grove WI. 53013