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<h1 align=center style='text-align:center'>Membership Application<br>
20th Century Railroad Club</h1>

<p>&nbsp; </p>

<p><b><i><u>Please print this form, fill it out, enclose payment and mail via
postal mail to the club.<br>
Do not send this form via e-mail.</u></i><br>
</b><br>
All categories of membership include all members of your immediate family, plus
12 monthly issues of &quot;The Fast Mail.&quot; Contributing and &quot;Century
Club&quot; members also receive a certificate of thanks and their names
published in &quot;The Fast Mail.&quot; The names of &quot;Century Club&quot;
members are engraved on a plaque displayed at our meeting space.<br>
<br>
Please choose a membership category:<span style='mso-spacerun:yes'>� </span></p>

<p>(<span style='mso-spacerun:yes'>�� </span>) Student - $10 (age 17 or
younger) <br>
(&nbsp;&nbsp; ) Regular-$40 per year<br>
(&nbsp;&nbsp; ) Contributing-$75 (or more) per year<br>
(&nbsp;&nbsp; ) Century Club-$125 (or more) per year<br>
(&nbsp;&nbsp; ) Presidents Club-$250 (or more) per year<br>
(&nbsp;&nbsp; ) Lifetime Membership-$1000 (one time)<br>
<br>
Member Name(s):_____________________________________________________<br>
<br>
Mailing Address:______________________________________________________<br>
<br>
City, State, ZIP Code, Country:___________________________________________<br>
<br>
Home Phone:_________________________________________________________<br>
<br>
Work Phone:_________________________________________________________<br>
<br>
Email:______________________________________________________________<br>
<br>
<br>
Payment Method (For your protection, please do not email credit card numbers to
us)<br>
<br>
(&nbsp;&nbsp; ) Check/Money Order<br>
(&nbsp;&nbsp; ) Master Card<br>
(&nbsp;&nbsp; ) VISA<br>
<br>
Credit Card <span class=SpellE>Number:_______________________________Expiration</span>
Date:__________<br>
<br>
Cardholder Signature:_____________________________________________________<br>
<br>
Please Print this form and send via postal mail to:<br>
<br>
20th Century Railroad Club<br>
Attention: Membership Secretary<br>
PO Box 247<br>
Arlington Heights IL 60006<br>
<br>
Thank you for your support!</p>

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