MYSTIC VALLEY RAILWAY SOCIETY

(Printout this form, fill in, and Mail)

	<-- Check here if this is an address change.
Your Name:
Address:
City/Town:
State/ Zip:	/
Telephone:	( ) (with area code)
Family Names: List full names: (no separate mailings)

<-- New

<-- Renewal

Number	Class	Amount
	Regular Membership at $6.00 per person	$_________
	at $2.00 per additional person to the price of the Regular Membership	$_________
	Life Membership at $100.00 per person	$_________
	Tax deductible donations are gratefully accepted.	$_________
	Total Amount Enclosed	$_________
	For membership outside the U.S.A., please double the Fees.	(Remit in U.S. currency only)

If you join more than once in the membership year, it will be considered a donation.

Please include a self-addressed stamped envelope. Cards will be mailed to you in 5-6 weeks. There will be a service charge assessed for checks returned by bank.

Mail to: Mystic Valley Railway Society, Inc, c/o Membership Committee

PO Box 365486, Hyde Park, MA 02136-0009

Phone: 617 361-4445