WCRA MEMBERSHIP APPLICATION

NAME:  Mr__Mrs__Ms__ (Circle)

First Name ________________________________________

Last Name__________________________________________

ADDRESS:___________________________________________

___________________________________________________

CITY:______________________________________________

PROVINCE/STATE:____________________________________

POSTAL/ZIP CODE:____________COUNRY:________________

PHONE:(   )________________________________________

EMAIL:_____________________________________________


Please indicate type of membership you would like:

Membership with Printed Newsletter:

Individual Membership _____       $50.00

Family Membership     _____       $60.00

Jr. (18 yrs & under)  _____       $25.00

Sustaining            _____      $150.00
Individual *

Sustaining            _____      $160.00
Family *

Lifetime              _____      $700.00
Individual

Lifetime              _____      $1200.00
Family

________________________________________

Membership with E-Newsletter Option

Individual Membership _____       $35.00

Family Membership     _____       $45.00

Jr. (18 yrs & under)  _____       $25.00

Sustaining            _____      $135.00
Individual *

Sustaining            _____      $145.00
Family *

Lifetime              _____      $700.00
Individual

Lifetime              _____      $1200.00
Family

* Note - Sustaining Memberships will receive a Canadian
Income Tax receipt for the $100.00 donation portion.

(Outside Canada please remit in US Funds)



I have enclosed a cheque or Money Order ____ payable to WCRA

or please charge my Visa____ Mastercard ____

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 __

Gift Store/Park Tour Guide __	Locomotive Restoration  __

Rolling Stock Restoration  __	 Gardening/Landscaping  __

Administration  __

Other_____________________________________________________


MAIL TO:  West Coast Railway Association

          PO Box 2790  Stn Terminal Vancouver   BC  Canada

          V6B 3X2