Membership Application

Tri-State Railway Historical Society

P.O. Box 1217

Morristown, NJ  07962-1217

Being interested in the work of the Tri-State Railway Historical Society and agreeing to abide by its rules and by-laws, I hereby apply:

Name_____________________________________ Age__________

Address_________________________________________________

City, State, and Zip________________________________________

Telephone_____________E-mail_____________Occupation____________

Additional family names (if desired) and their relationships:

________________________________ _________________________

________________________________ _________________________

Signature______________________________________ Date________

Dues enclosed: Regular membership   $20.00 ____

                   Family membership     $23.00 ____

                        Including NRHS         $56.00 ____

                        Family incl. NRHS      $64.00 ____

Please make checks payable to: Tri-State Railway Historical Society, Inc.

(for office use)

Approved___________________________ Date_______