[Application]

Please enroll me as:

____ Regular Member at $25

____ Sustaining Member at $40 ($15 tax-deductible)

____ Contributing Member at $100 ($75 tax-deductible)

____ Corporate Member at $250


NAME: _________________________

ADDRESS: ________________________

CITY: _____________________ STATE/PROVINCE: _______ ZIP: __________

PHONE (optional: _________________________

E-MAIL (optional): _________________________

My primary interest in the Missabe is:

____ Modeler (scale ____ )

____ Railfan

____ Historian

I can contribute in the area of: _______________________

May we publish your name and contact information in our membership directory? _____


Fill out the application and mail with a check payable to The Missabe Railroad Historical Society to:

Membership Services
Missabe Railroad Historical Society
P.O. Box 47
Bucklin, MO 64631