NORM Membership Application

Northern Ohio Railway Museum APPLICATION FOR MEMBERSHIP Choose a Membership Class
___	REGULAR MEMBERSHIP (Minimum age 18) entitles you to all museum benefits listed above, including voting rights and operating privileges (after qualification). Annual Dues: $30
___	LIFE MEMBERSHIP is available to Regular members for a one time payment of $300 or ten consecutive annual payments of $35.
___	RETIRED REGULAR MEMBERSHIP is open to all retired or permanently disabled persons and entitles you the same benefits as Regular Membership. Annual Dues: $20.
___	CO-MEMBERSHIP is open to the spouse of any Regular or Retired Regular Member and entitles you to the same benefits as Regular Membership. Annual Dues: $20
___	ASSOCIATE MEMBERSHIP entitles you to all Museum benefits except voting and operating. Annual Dues: $15
___	STUDENT MEMBERSHIP is available to full time students under the age of 18 and entitles you to the same benefits as Associate Membership. Annual Dues: $10
___	FAMILY MEMBERSHIP package includes one Regular Membership, one Co-membership, and Student Membership for each eligible child in the same household. Annual Dues: $50

Name: _________________________________________
Address:________________________________________
City: _______________________________ State: ______
Zip (+4): _______________ Phone:__________________
Occupation: ___________________ Date of Birth:_______

I would like to volunteer in the following areas (Check all that apply).
___	Operations/Public Display/Program
___	Museum Store
___	Education/Public Relations
___	Car Restoration and Maintenance
___	Track and Overhead
___	Vehicle Maintenance
___	Grounds Upkeep
___	Fund Raising
___	Administrative/Finance/Publications

Tax deductible contribution of $______________ is also enclosed.

Signature: _________________________ Date:_________
Return to: NORTHERN OHIO RAILWAY MUSEUM PO Box 458, Chippewa Lake, OH 44215-0458