Chesapeake Bay Knife Club, Inc.

939-I Berds Hill Road, Suite #122

Aberdeen, MD 21001

Membership Form

410-272-2959

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Name: _______________________________ Date: _______________

Address: ____________________________

City: ____________________________ State: __________________

Zip: ____________________________ Phone: __(______)________-____________

E-mail: _(optional)___________________________

My interest in cutlery is:

Hand Made _______ Factory ________ Military _____________________

Antiques _________ Modern ________ Other _______________________

Annual Membership dues:

.................................Individual________$15.00

.................................Spouse____________7.00

.................................Junior (under 18)_____6.00

Make check payable to: Chesapeake Bay Knife Club, Inc. Send application with check to:

................................Paul Deme, CBKC Treasurer

................................2707 Ailsa Avenue

................................Baltimore, MD 21214

__________________ Member #______________ Date ____________