Name: ___________________________________ Today's Date: _________________________
Address: _________________________________ Home Phone: _________________________
City: _____________________________________
State: __________________________ Occupation (optional): ____________________________
Zip Code: _____________-_________ E-mail (optional): ________________________________
I apply for membership in the Electric City Trolley Museum Association, as follows:
________ Sustaining ($25.00 per year)
________ Associate ($20.00 per year)
________ Family ($35.00 per year)
List family names: ________________________________________________________________
My check is enclosed. I agree to abide by the duly enacted By-laws and Rules and Regulations of the Electric City Trolley Museum Association while involved in all organizational activities.
I agree I will not use the name of the organization in any way that will obligate the organization or any of its members without due authorization.
Signed: ________________________________________________________
Please make check payable to: Electric City Trolley Museum Association (ECTMA)
Please mail to: ECTMA Membership Secretary; PO Box 15; Sharon Hill PA 19079