Gerstner Owners Club Application

Application for Membership

Your Name:
(As you want it to appear on your Membership card)
Zip Code:
Current Occupation:
(or if retired, Former Occupation)
Number of years in Occupation:
My First Gerstner Chest was: New
Approximate year you acquired your first Gerstner chest:
My Hobbies include:
I use my Gerstner Chest to hold:

Proof of Ownership is required for membership. Indicate which of the following Proof of Ownership you will be sending to Gerstner:
E-mail or Mail a photo of your Gerstner Chest.
E-mail or Mail a copy of Bill of Sale which shows my name, chest style or model number, purchase price and date of transaction.
E-mail or Mail a copy of an Age of Chest Certificate from H. Gerstner & Sons.
I am including my order for a new Gerstner Chest.

I wish to pay the $30 first year dues with:
Credit Card - (by phone at 800-888-5269).
Check or Money Order.
PayPal - (a PayPal payment button will be on the next page).

Questions or Comments: