How to use this form for 2008:
Print out this form, select the type of membership desired, furnish us your name and address, and your age range (optional), and send the completed form with your remittance to
Membership, CERA, P.O. Box 503, Chicago IL 60690
If you once were a member but let your dues lapse, you may also use this form to re-establish your membership. If so, please indicate on the form that you once were a member.
Please Print
| Name: (first, middle, last) | |||
| Street address | |||
| City, State, Zip | |||
| Were you ever a CERA member? Yes No Uncertain | |||
| Select type of Membership desired: (check one) | ☐ | ACTIVE member...................$45.00 | |
| ☐ | ASSOCIATE member...........$37.00 | ||
| ☐ | CONTRIBUTING member..$90.00 | ||
| ☐ | SUSTAINING member.......$180.00 | ||
| Select an age range (optional but helpful to us). Place check mark in front of appropriate range. | |||
| 1. under 20 years | 5. 66 - 75 | ||
| 2. 20 - 35 | 6. 76 - 80 | ||
| 3. 36 - 50 | 7. over 80 | ||
| 4. 51 - 65 | |||
| How did you come to visit our web site? (again, optional but helpful to us) Please circle relevant source.
Ad in.... Trains; Model Railroader; Classic Trains, Railfan and Railroad, First and Fastest; City Talk other: Link from another web site (Please specify name of web site___________________________) |
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© 2006-2007 Central Electric Railfans’ Association |
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