NAWCC Dr. Stephens Chapter No. 5
National Association of Watch and Clock Collectors
San Francisco, California

Please use this application form to submit information to be listed on the NAWCC Chapter 5 web site. The purpose of this information page is to allow watch and clock collectors to find and contact collectors with similar interests. If  you are a current member of Chapter 5, your listing is free as long as you are a member. The cost of being listed for non members of Chapter 5 is $10 per year and is only open to current members of NAWCC. Print and fill out this form and mail with your check (made out to NAWCC Chapter 5) for $10 to:

 

Frank Keillor
PO Box 3008
Moss Beach, CA 94038  

Personal Details

Name:

 

Circle all that apply:

Professional Watchmaker                        Professional Clockmaker                

Watch Collector                                       Clock Collector

Watch Retailer                                         Clock Retailer

Address: (Optional)

 

 

 

 

 

Email Address: (not optional)

 

Contact Telephone Numbers: (optional)

Home:

Work:

Mobile:

Chapter 5 staff only

Insertion subscription and renewals info:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

General Information (125 characters maximum including spaces)