WCRA MEMBERSHIP APPLICATION NAME: Mr__Mrs__Ms__ (Circle) First Name ________________________________________ Last Name__________________________________________ ADDRESS:___________________________________________ ___________________________________________________ CITY:______________________________________________ PROVINCE/STATE:____________________________________ POSTAL/ZIP CODE:____________COUNTRY:________________ PHONE:( )________________________________________ EMAIL:_____________________________________________ MEMBERSHIPS ARE SUBJECT TO 12% HST Membership Fee + HST indicated Please indicate type of membership you would like: Membership with Printed Newsletter: Individual _____ $55.00+$6.60 = $61.60 Family _____ $65.00+$7.80 = $72.80 Senior (65 yrs plus) _____ $50.00+$6.00 = $56.00 Jr. (18 yrs & under) _____ $30.00+$3.60 = $33.60 Sustaining _____ $155.00+$6.60 = $161.60 Individual * Sustaining _____ $165.00+$7.80 = $172.80 Family * Lifetime _____ $700.00+$84.00 = $784.00 Individual Lifetime _____ $1200.00+$144.00 = $1344.00 Family ________________________________________ Membership with E-Newsletter Option Individual _____ $40.00+$4.80 = $44.80 Family _____ $50.00+$6.00 = $56.00 Senior (65 yrs plus) _____ $35.00+$4.20 = $39.20 Jr. (18 yrs & under) _____ $30.00+$3.60 = $33.60 Sustaining _____ $140.00+$4.80 = $144.80 Individual * Sustaining _____ $150.00+$6.00 = $156.00 Family * Lifetime _____ $700.00+$84.00 = $784.00 Individual Lifetime _____ $1200.00+$144.00 = $1344.00 Family * Note - Sustaining Memberships will receive a Canadian Income Tax receipt for the $100.00 donation portion. The donation portion is not subject to HST. If the member resides outside Canada fees are payable US Funds to help offset the additional mailing costs. I have enclosed a cheque or Money Order ____ payable to WCRA or please charge my Visa____ Mastercard ____ AMEX____ Card # _____________________________________ Expiry Date: _______________________________ We normally only issue one membership card per family, however, if you wish additional cards, please list the names for each: NAME 1:_______________________________________ NAME 2: _______________________________________ NAME 3:_______________________________________ If you would be interested in any aspect of the following activities please let us know and someone will contact you to get you started. Tour Guide & Host __ Marketing/Promotion __ Park Tour Guide __ Locomotive Restoration __ Operating the MiniRail __ Rolling Stock Restoration __ Gardening/Landscaping __ Administration __ Other_____________________________________________________ MAIL TO: West Coast Railway Association PO Box 2790 Stn Terminal Vancouver BC Canada V6B 3X2 Updated July 1 2011