Membership Application Form

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Membership Classes & Fees

Questions about Membership

Application Form

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Membership Class	Details	Annual Fee
Regular Member	Adult 18 years or older	$40.00
Spouse	Spouse of Regular Member	$15.00
Family Youth	Child of Regular Member, 12–18 years	$10.00ea
Youth	Child between 12 and 18 years, with Regular Member Sponsor	$15.00ea
Student	Full time student ages 18 to 25	$15.00
Associate Member	Anyone who resides >50 miles from Raleigh	$10.00

Membership Class

Details

Annual Fee

Regular Member

Adult 18 years or older

$40.00

Spouse

Spouse of Regular Member

$15.00

Family Youth

Child of Regular Member, 12–18 years

$10.00ea

Youth

Child between 12 and 18 years, with Regular Member Sponsor

$15.00ea

Student

Full time student ages 18 to 25

$15.00

Associate Member

Anyone who resides >50 miles from Raleigh

$10.00

Membership Application Form

North Raleigh Model Railroad Club

Please complete this form on screen, then print with the button below, sign, & mail with payment.

Personal Information
Name(s) as you wish to have it (them) appear on your membership card and name badge:
Member
Spouse
Child 1
Child 2

Name of applicant:
Address — Street
Address — Other
City, State, Zip Code
E-mail Address:
Home Phone w/Area Code
Work Phone w/Area Code
Mobile Phone w/Area Code

Date of Birth:		Marital Status:
Occupation:		Working/Retired?
How long have you been involved in model railroading?
What scales/gauges do you model?

Describe any layouts your now own, if any:

Do you have modules meeting NTRAK standards?

If yes, please describe briefly:

What is your modeling skill level? (Novice/Intermediate/Advanced)

What are your favorite railroads?

What railroads do you model?

List any special skills you have for model railroading (example: electrical, electronics, airbrushing techniques, drafting, woodworking, decaling, scenery, etc.):

List model railroad clubs or organizations in which you are or have been a member:

Any other information about you that you feel the North Raleigh Model Railroad Club should know about you as a modeler and a person:

Fees

Item	Quantity	Fee	Total Cost
Regular Member		$40.00
Spouse of Regular Member		$15.00
Child (12–18) of Regular Member		$10.00
Child (12–18 years) w/Regular Member Sponsor		$15.00
Student (Full Time, 18–25 years) Registration		$15.00
Associate Member (resides <50 miles from Raleigh)		$10.00
Total Annual FEES, $

For new joining members fees to be remitted are equal to the Total Annual Fees multiplied by the Fee Factor, which is based on today's date, as follows:

Today's Date:

Date Range	Fee Factor
January 1 — March 31	100%
April 1 — June 30	75%
July 1 — September 30	50%
October 1 — December 31	25%

Fee Factor, based on Today's Date, %:

Fees to be remitted (Total Annual Fees x Fee Factor), $:

Mail completed applications (with payment made out to "North Raleigh Model Railroad Club") to:

North Raleigh Model Railroad Club
c/o G. Donald Cariss
5612 Enoree Lane
Raleigh, NC 27616-5777

Payment must accompany registration form. Please DO NOT staple your check or money order to your registration form.

OFFICE USE ONLY:

Received:_____________ Check #:__________ Amount:____________ Registration No.: ___________

January — March	100%
April — June	75%
July — September	50%
October — December	25%

North Raleigh Model Railroad Club

Membership Application

Instructions

Membership Classes & Fees

Questions About Membership

Membership Application Form

North Raleigh Model Railroad Club