Charleston Chapter Membership Application

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
$50.00 ____ 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
$  7.00 ____ Family -1 (Chapter $3.00 + NRHS Family $7.00)  Non-voting class                     $ 10.00    _____ $  3.00

Add-on name:

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

Add-on name:

$  7.00 ____ 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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