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                          K&I MODEL R. R. CLUB 
 
                 (PLEASE PRINT IN LARGE LEGIBLE LETTERS) 
 
     NAME_______________________________________________________________ 
 
     ADDRESS___________________________________________________________ 
 
     CITY/STATE/ZIP_____________________________________________________ 
 
     PHONE NUMBER____________________________________________________ 
 
     E-MAIL ADDRESS____________________________________________________ 
 
     WHAT SCALE(S) DO YOU MODEL (Circle primary scale) _________________ 
 
     DO YOU HAVE A HOME LAYOUT? (   ) YES   (   ) NO__SIZE - ____________ 
 
     DO YOU MODEL A SPECIFIC PROTOTYPE (    ) OR FREELANCE (    ) ____ 
 
     _____________________________________________________________________ 
 
     WHAT RAILROADS ARE YOUR PRIMARY INTEREST?_________________ 
 
     DO YOU PLAN TO BUILD A MODULE? (    ) YES (    ) NO  SIZE (4ft) (8ft)    
 
     DESCRIBE SCENE YOU PLAN TO  MODEL____________________________________________

     _____________________________________________________________________________ 
 
     ANY OTHER INFO___________________________________________________ 
 
     _____________________________________________________________________
          
     If you would care to join the K&I RR Club, our current dues are   
     $50.00 per year. Please see our Treasurer Ron Montgomery. 
     NOTE: Due to insurance regulations, you must be a member in good 
     standing of the NMRA (National Model Railroad Association). Your 
     membership in K&I is instituted as soon as we confirm your membership 
     in NMRA.

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