|
Name:
|
|
Telephone:
|
|
|
Street Address:
|
|
E-Mail:
|
|
|
City/State/Zip:
|
|
Age Group:
|
|
|
Years-in-Hobby:
|
|
Occupation:
|
|
If you have a home layout, please provide a brief description:
Member of other Model RR Club or Organization:
Please indicate by number those phases of the hobby you are skilled and interested in:
(on a scale of 1 through 5, with 1 representing the greatest skill and interest level)
|
Category
|
Skilled
|
Interest
|
Category
|
Skilled
|
Interest
|
|
Track Work
|
|
|
Structures
|
|
|
|
Electrical
|
|
|
Operation
|
|
|
|
Locomotives
|
|
|
Maintenance
|
|
|
|
Cars
|
|
|
Construction
|
|
|
|
Scenery
|
|
|
Other
|
|
|
Any comments concerning your desire to join our club:
|
Signature: _________________________________________
|
Date: ___________________
|
|
|
|
This is a Print and Mail application form, so just print it out, then fill it out and finally, send it
in.
Our dues includes a one-year membership to the national NTRAK organization and the
national NTRAK newsletter. The national NTRAK dues are processed in September,
therefore your national NTRAK membership will not begin until then. Send your
completed application form with a $20.00 check payable to "Northeast NTRAK"
to:
Northeast NTRAK Membership
18 Burroughs Road
Lexington, MA 02420-1908
|
|
