Membership Form

Name: _____________________________________________

Address: ___________________________________________

___________________________________________________

Phone: _____________________________________________

Email: _____________________________________________

Date: ____________________

Other Railroad related interests (Please circle):

Modeling    Books    Photographs    Railroad Artifacts    Other:_______________

Membership Levels

Please enter amount included.

$______   Regular Member ($30 – $49)

$______   Supporting Member ($50 – $99)

$______   Sustaining Member ($100 – $499)

$______   Corporate ($250)

$______   Train Master ($500 – $999)

$______   Lifetime ($1000 or more)

Mail to

Durango Railroad Historical Society

PO Box 654

Durango, CO 81302