Membership Form

THE GAUGE ONE MODEL RAILWAY ASSOCIATION

To join the Gauge One Model Railway Association, pleased complete this
form and send it with the Joining Fee and your first years' subscription
to the Membership Co-Ordinator USA:

Jim Curry
PO Box 40
Warren, ME 04864
e-mail: jjc@structureguard.com

PLEASE PRINT
Mr/Mrs/Ms: First Name:________________________________________________

Last Name: __________________________________________________________

Address: __________________________________________________________

City: _____________________________________________________________

State: ____________________________________________________________

Country: __________________________________________________________

Zip Code: _________________________________________________________

Home Tel: ____________________________
(if you do not wish this to appear in the Membership List, leave blank)

Occupation: ________________________________________________________
(this is for internal use only and is optional)

Special Interests (please tick the appropriate boxes)

Steam	Electric
Coal	Stud Contact
Meths	Two Rail

Track Clockwork Wagons
Signalling Railway Company Coaches
General Scenery

Membership Fee
    - Ordinary $26.00 per annum ($45 for airmail delivery). Payment must be received before June 30.
    - Half-year membership $13 ($22.50 for airmail delivery). Payment received after June 30.
    - Junior $13.00 per annum
Joining Fee $9.00 one time, first year only.
Donation $

I enclosed a check for $_________________ make payable to "G1MRA - USA Membership"

Membership form was created by and property of the Gauge 1 Model Railway Association.

Small-Scale Live Steam Resources is compiled and © copyright 1995-2003 by: Vance R. Bass. All rights reserved. Please use any and all information contained herein for your hobby enjoyment. If you're going to make money from it, talk to me first.

Last updated: 17 September, 2003.