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Phillipsburg
Railroad Historians, Inc. |
Application For Membership
Name..._______________________________________________ Phone (_________)_______________________
Address_____________________________________________________________________________________
City_______________________________ State_____________Zip_________Email_________________________
| Specific interests in railroads: (circle all that apply) | |||
| History | Model RR | Photography | Miniature (amusement park size) |
| Trolleys | Restoration | Other _________________________________ | |
Please list any other railfan organizations to which you belong to:
___________________________________________________________________________________________
| Have you ever worked for a railroad? | Yes | No | |
| If yes, in what area? | Operations | MOW | Equipment maintenance |
| Other _____________________________________________ | |||
| Please list any skills you have to offer: | |||
| Welding | Hydraulics/Pneumatics | Machinist | Painting |
| Electrical | Carpentry | Secretarial/Computer | Fund Raising |
| Other ___________________________________________________________ | |||
Please list any connections you may have with corporations or organizations that may be willing to support our efforts with donations of money, materials, or services:
__________________________________________________________________________________________
In consideration of membership I agree to abide by the by-laws and rules of the organization. I also agree to be personally responsible for my safety when engaged in any activity connected with the organization.
Date______________________..........Signature_____________________________________________________
| Dues: | Regular $25.00/year (___) | Engineer $50.00/year (___) | Conductor $100.00/year (___) |
