Instructions
Print and complete this form and mail it along with $24.00 to the club address:

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Boulder Model Railroad Club |
Date: _________________________
Name: _________________________________________________________
Spouse's Name: ______________________________________________
Mailing Address:______________________________________________________________________________________
City: _______________________ State: ________________ ZIP: _________________
Phone numbers where you can be reached:
Home: ___________________ Work (optional): ___________________ Cell (optional): __________________
Email address: _______________________________________________________
Please tell us a little about yourself:
Do you have a layout? _______________ If so, what scale(s) do you model? _______________________
If you have a layout, would you be willing to participate in a layout tour? _______________
What prototype RRs are you interested in? _______________________________________________________
Are you still working, or are you retired? _________________________ If working, where? ____________
_______________________________________________________________________________________________________
What clubs are you affiliated with (railroad or otherwise)? _______________________________________
_______________________________________________________________________________________________________
What special skills or interests do you have, and how do you feel they might benefit
our other members? (Please use reverse side or additional page if necessary.)




