BRIDGE LINE HISTORICAL SOCIETY MEMBERSHIP APPLICATION

Name ______________________________ Telephone __________________________

Addr. ________________________________________ Age (opt) _____ Spouse [opt) _____

City _______________________ State ______ Zip ______ Country_______________________

E-Mail Address ______________________________________________________________

Occupation (opt)____________________ Employer (opt) ___________________

MEMBERSHIP CLASSES (per calendar year; halved from 15 May to 15 November. After 15 November, dues cover following year as well):

Regular [ ] $28.00 per cal. year**
Family [ ] $30.00 per cal. year**
Sustaining [ ] $75.00 per cal year**
Corporate [ ] $75.00 per cal. year**
Patron [ ] $150.00 per cal. year**
D&H /Soo/ CP Rail Employee* [ ] $25.00 per cal. year**


NOTES:
* Employee membership is open to all present and retired D&H, Soo, and CP Rail employees and their spouses.
** Prices in U.S.$ There is a mandatory postage surcharge of $26.00 for Canadian members for Air Mail postage. US First Class postage is $16/year extra. Postal surcharge does not apply to Sustaining members.

Make check/money order payable to:
Bridge Line Historical Society

Post Application Form to :
Bridge Line Historical Society
P.O. Box 13324
Albany, NY 12212
U.S.A.


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Information supplied by John A. Shaw, Neil C. Hunter and the Bridge Line Historical Society
Rail graphics supplied by Kenneth E. Houghton, John A. Shaw, Roland O'Connell and the Bridge Line Historical Society

This page is maintained by: John A. Shaw

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