American Passenger Rail Heritage Foundation

Print, complete and mail in this form if you'd rather mail in your membership.

Please join today at the highest level you can afford to maximize the efforts of the APRHF to preserve and promote passenger rail heritage. Your membership is tax deductible to the extent provided by law. Please consult your tax advisor for details:

_____ Attendant $10 per year

_____ Coach $40 per year

_____ Pullman $65 per year

_____ Engineer $120 per year

_____ Conductor $1000 lifetime

Name:



Address:

City/State/Zip:

Phone:

E-mail:

Circle method of payment:      Check      Mastercard      Visa      Discover      American Express

If paying by check please make your check out to APRHF.

If paying by credit card, please complete the following:

Charge Card Number:



Expiration Date:

Signature:

Plese mail this completed form to: APRHF, P.O. Box 175, La Plata, Missouri 63549. Thank you for joining!