| 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
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