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Name__________________________________________ Date_________
Address_____________________________________________________
_____________________________________________________
street
city
zip
Phone # ( ____-_____-______) cell?____-_____-______
Age_______
Email Address_____________________________________________
Sponsor (required if under 18)_________________________________
Interest in Model Railroading:
How Long? __________Scale(s)_______
Motive Power?
Diesel____ Steam____ Traction____
Narrow gauge____
Do you have a layout? _____ What Type? ___________________________
NMRA Membership Number:
_______________ (Required)
Favorite aspects of Hobby: _______________________________________
____________________________________________________________
____________________________________________________________
Railroad(s)/Era(s) modeled?_______________________________________
____________________________________________________________
What hobby related magazines do you buy?____________________________
____________________________________________________________
Modeling level?
ready to run _______ basic kits_____
advanced/craft kits______ scratch/Bash_____
Are you interested in:
Building a Module? _________
Maintaining a club owned module? _________
Operations_____ Structures_____ Scenery_____
Wiring_____
other interests _________________________________________________
____________________________________________________________
I have received a copy of the club by-laws and I understand
all the terms
and conditions necessary for membership and will comply
with them
while associated with the club.
Signature___________________________________
Sponsor's signature __________________________________
(only required if applicant is under 18)
