Name(s):                                                                                                        .

Address:                                                                                                        .

City:                                                                        .

State:                                                       . Zip:                                     .

Phone(area code):                                                                .

Check one:        [] Renewal Membership.           [] New Membership.

Check membership category.(Families,list all members "names" above.)

[] Individual ($25)        [] Family ($30)        [] Lifetime ($500.00)

Senior: is 60 years old and up.

[] Senior ($12.50)    [] Senior Family ($15)    [] Senior Lifetime ($100)

Teen: are 14 to 18 years old.

[] Teen ($12.50)        [] Benefactor or Contribution: $                        

"All New Memberships Will Receve One Free WSRHS Museum Hat"

"All Donations Are Tax Deductible" {Make check to Washington State Railroads Historical Society} Print & Mail this application with payment to: WSRHS P.O. Box 552 Pasco, Washington 99301

"Join us in our efforts to keep history alive!"

   

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