Our Doll Family

2009 Collectors’ Club

Membership Application

❑ New Member       ❑ Renewal
Name
Address
City State Zip
Country
E-mail
Daytime Phone (         )
Member ID#	(for renewal only)
❑ This is a Gift Membership
Please share the warmth of OUR DOLL FAMILY with the special person above.
Gift Giver's Name
Address
City State Zip
Country
Daytime Phone (         )
Enclosed is my       ❑ Check       ❑ Money Order
for members dues of $25.00, payable to Middleton Doll.
Note: Please pay in U.S. funds. An additional $5.00 shipping & handling charge will be added to orders outside the US.
-OR-
Please charge my membership dues to my:
❑ MasterCard       ❑ Visa       ❑ Discover
Account No.
Exp. Date (MM/YYYY)
Signature
Mail to: Our Doll Family Collectors' Club Middleton Doll 2400 Corporate Exchange Dr. #220 Columbus, OH 43231
Fax to: Our Doll Family 614-901-0001