Membership Application Form

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JERSEY CENTRAL
RAILWAY HISTORICAL SOCIETY
POST OFFICE BOX 700 CLARK NJ 07066


MEMBERSHIP APPLICATION


Name: _______________________________________________________
Address: _______________________________________________________
_______________________________________________________
City: _______________________________________________________
State & Zip: _______________________________________________________
Telephone Number: _______________________________________________________
E-mail Address: _______________________________________________________

TYPE OF MEMBERSHIP

$20.00


This application, if accepted by the Society, will be published to the entire membership. If three or more objections are received by the Society in writing within 30 days, the application will be rejected and the monies refunded.

I hereby subscribe to the purpose and policies of the JERSEY CENTRAL RAILWAY HISTORICAL SOCIETY, to the duties of membership, and understand and agree to the admission procedures.


APPLICANT'S SIGNATURE ____________________________________  DATE ________

Applicants for membership must be recommended by a member in good standing, such recommendation being evidenced by signatures on the application. These signatures appearing below affirm to all other members the good character of the applicant

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This page last updated March 15, 2016.
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