C.O.C.A. Times

Membership Application
e~o~e~A~
Coin Operated Collector's Association
C.O.C.A. Agenda:
* To Unite serious Coin Operated machine collectors
* Focus on machines prior to the Johnson Act of 1951
* Includes Gambling Machines, Penny Arcade, Vending and related collectibles
* Publish a Quarterly magazine (advertising available)
* Have Members participate with News, Articles, Photos and !information for the Magazine
* Schedule and host 2 annual meetings tied to the Chicagoland Show each April and
November, Pheasant Run Hotel, St. Charles Illinois.
* Current Dues are $20 per year ($40 foreign). With the Dues year running November to
October of each year.
* C.O.C.A. Badges available - $10 each or 2 for $15
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New Member: - - - - - - - - - - - - - -
Address: - - - - - - - - - - - - - - - -
City: _ _ _ _ _ _ _ State: _ _ Zip: _ _ _ _
Home Phone: - - - - - - Work Phone: - - - - -
Fax: - - - - - - - - -
Email - - - - - - - - -
Badge Order: _ _ 1 for $10 ___ 2 for $15
Total Amount Enclosed: $ _ _ _ _
Please mail your completed form with your check made payable to C.O.C.A.
C.O.C.A. c/o Dan Davids,
550 W 135th St.,
Gardena CA 90248
E-mail any questions to: djdavids@earthlink.net