Date: First Name: MI: Last Name: Address: Apt. City: State: Choose a State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware D.C. Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip: Day Phone:  ( ) -  Night Phone: ( ) - Email: @  Fax: ( ) - My interests include: Railroad Equipment Restoration Acquiring/planning/building facilities for equipment restoration, storage, & maintenance Museum Planning and Development Fund Raising, Grants, etc. Oral/video historical research/documentation/interviewing Railroad Historical/Roster/Photographic Research and/or Archiving Writing historical, news, or other items for the Chapter's newsletter, West Jersey Rails Quarterly. Railroad show committees to help sell artifacts and promote the Society Model Railroading Organizational. Help with administration of the Chapter. Other: Dues enclosed for: West Jersey Chapter & National Membership $46.00 West Jersey Chapter & National Membership (with spouse) $51.00 If presently member of National, Chapter Only Membership: $13.00 Enter your membership number:  and Chapter Affiliation Optional Donation to WJCNRHS (fully tax deductible)$ Total Enclosed:$