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Phillipsburg Railroad Historians, Inc.
PO Box 5104
Phillipsburg, NJ 08865

Application For Membership

Name..._______________________________________________ Phone (_________)_______________________

Address_____________________________________________________________________________________

City_______________________________ State_____________Zip_________Email_________________________

Specific interests in railroads: (circle all that apply)
History Model RR Photography Miniature (amusement park size)
Trolleys Restoration Other _________________________________

Please list any other railfan organizations to which you belong to:

___________________________________________________________________________________________

Have you ever worked for a railroad? Yes No  
If yes, in what area? Operations MOW Equipment maintenance
Other _____________________________________________
Please list any skills you have to offer:
Welding Hydraulics/Pneumatics Machinist Painting
Electrical Carpentry Secretarial/Computer Fund Raising
Other ___________________________________________________________

Please list any connections you may have with corporations or organizations that may be willing to support our efforts with donations of money, materials, or services:

 __________________________________________________________________________________________

In consideration of membership I agree to abide by the by-laws and rules of the organization. I also agree to be personally responsible for my safety when engaged in any activity connected with the organization.

Date______________________..........Signature_____________________________________________________

Dues: Regular $25.00/year (___) Engineer $50.00/year (___) Conductor $100.00/year (___)