NATIONAL RAILWAY HISTORICAL SOCIETY
Charleston  Chapter  Membership  Application
Please type or print legibly - Fill in all application data - Sign and date
Name
Return completed Chapter application to:
Address
City                                                                   State                    Zip
Charleston Chapter - NRHS
Phone                                                 Fax
P O Box  21561
E-mail
Charleston SC 29413
Occupation/Interest
USA
Have you ever been a member of NRHS?    Yes     No                                                                
If yes, former membership # if available:

Charleston Chapter applicants should make check payable to:
 Charleston Chapter - NRHS

Membership  Classes
(one year membership covers  - January to December)
Associate
Membership

Chapter and NRHS      
(all rates are USD)    
Chapter
Only

$39.00 ____
Regular (Chapter $20.00 + NRHS Regular $50.00)  Primary voting class            $70.00   ____
$20.00

$16.00 ____

Regular - NRHS Student (Chapter $20.00 + NRHS Student $16.00)                        
                 (available if under age of 18)      Year of birth:                                      $36.00    _____

$20.00

$  5.00 ____
Family -1 (Chapter $3.00 + NRHS Family $7.00)  Non-voting class                     $ 10.00    _____
$  3.00

Add-on name:                                       

$  5.00 ____ Family -2 (Chapter $3.00 + NRHS Family $7.00)  Non-voting class                     $  10.00    _____ $  3.00

Add-on name:                                      

$  5.00 ____ Family -3 (Chapter $3.00 + NRHS Family $7.00)  Non-voting class                     $  10.00    _____ $  3.00

Add-on name:                                     


Friend of the Charleston Chapter  (Chapter only  $20.00)  Non-voting class   $20.00    ______ _____                                
  $20.00
Total _____


(Membership class descriptions, requirements, availability are subject to change w/o notice)     
Total       _________
                                                                                                                                           ( mail to address above)                                                                              



                                                                              

                                       
I agree to abide by the Constitution & By-laws of the National Railway Historical Society:

Signature: ____________________________   Date: _________________________________________

Application signature/ Parent or Guardian for student  ___________________________________________________________________________

Thank you for your application.  Signature of approving Chapter officer:  __________________________________________________________

National Office Use Only
                                                                                   84
Start        Stop        Class        Chapter        Number       Received        Processed