Name:       
Address: 
              
City:          State:     Zip:  
e-mail:       Phone:

Please enroll me as a member of the Sebastianworld Collectors Guild.  

(All memberships expire December 31)

I am submitting a fee of    scroll to select $10.00 (2002 Charter Member) $20.00 (2003 Full Year) $30.00 (Charter + 2003 Year) based on the fee schedule below.

SURVEY: We ask you that you complete a short survey about yourself and your collection.  This is entirely optional.  Any information provided will be used only by Sebastianworld in its efforts to assist you as a Sebastian Miniatures collector.  Click here to view or complete the survey.

    I have just completed and submitted or will now complete your Survey.
    I previously completed and submitted a copy of your Survey.
    I am not completing your Survey at the present time.