Prince William County Model Railroad Crew

Membership:

Active membership dues are $60 annually. We have Junior memberships for those under 18 years of age at $12 annually. To join us, fill in the form below and submit it, or print out the attached form and mail it to the address shown.

Applying For:	Active $60/yr Junior $12/yr
Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email Address:
Do You Have A Layout:	Yes No Scale:
What are your particular interests in model railroading? (rolling stock, scenery, etc.)
Other railroad interests?
Are you an NMRA member?	Yes No
NMRA Division:
NMRA Local:
Other Club/Organization Affiliation or Other Information:
PARENTAL CONSENT (For Minors under 18 years of age)** A PARENT who wishes to actively participate in club activities (for example, run trains) must be a Club Member. Parents who do not want to become members must be present at all club activities for any minor who is a Junior member.
I give my permission, as the parent or legal guardian, of my son / daughter to become a member of the Prince William County Model Railroad Club.

Parent Signature/Date

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Prince William County Model Railroad Crew