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Application for Membership in the Rail-Marine Information Group
| Full Name: |
________________________________ |
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Send to:
John Teichmoeller, Coordinator
Rail-Marine Information Group
12107 Mt. Albert Rd.
Ellicott City, MD 21042
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| Street: |
________________________________ |
| City: |
________________________________ |
| State: |
_______ |
| Zip: |
_______________ |
| Phone - |
Day: ____________________ |
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Eve: ____________________ |
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Interests:___________________________________________________________________
__________________________________________________________________________
I would be willing to submit an article or correspond with members on: _____________________
___________________________________________________________________________
Indicate your preference for having your name, address, and interests published on a list that is made available to RMIG members. OK_____ Not OK_____
Other Affiliations:________________________________________________________________
Where did you hear of us?_________________________________________________________
BACK ISSUES
Add postage as follows: 1: $1.25, 2-4: $2.50, 5-10 $3.00, over 10: write. Overseas postage, add an extra $1.00 per issue. All remittances in US dollars.
| TRANSFER 1-8 @ $2.00 |
x ________ | = | $___________ |
| TRANSFER 9 @ $6.00 |
x ________ | = | $___________ |
| TRANSFER 10 @ $8.00 |
x ________ | = | $___________ |
| TRANSFER 11 @ $6.00 |
x ________ | = | $___________ |
| TRANSFER 12 @ $6.00 |
x ________ | = | $___________ |
| TRANSFER 13 @ $8.00 |
x ________ | = | $___________ |
| TRANSFER 14 @ $6.00 |
x ________ | = | $___________ |
| TRANSFER 15 @ $8.00 |
x ________ | = | $___________ |
| TRANSFER 16 @ $8.00 |
x ________ | = | $___________ |
| TRANSFER 17 @ $6.00 |
x ________ | = | $___________ |
| TRANSFER 18 @ $8.00 |
x ________ | = | $___________ |
| TRANSFER 19 @ $6.00 |
x ________ | = | $___________ |
| TRANSFER 20 @ $8.00 |
x ________ | = | $___________ |
| TRANSFER 21 @ $8.00 |
x ________ | = | $___________ |
| TRANSFER 22 @ $8.00 |
x ________ | = | $___________ |
| TRANSFER 23 @ $6.00 |
x ________ | = | $___________ |
| TRANSFER 24 @ $10.00 |
x ________ | = | $___________ |
| TRANSFER 25 @ $8.00 |
x ________ | = | $___________ |
| TRANSFER 26 @ $8.00 |
x ________ | = | $___________ |
| TRANSFER 27 @ $10.00 |
x ________ | = | $___________ |
| TRANSFER 28 @ $8.00 |
x ________ | = | $___________ |
| RMIG MEMBERSHIP |
x ________ | = | $___________ |
| POSTAGE: |
| | $___________ |
| TOTAL: |
| | $___________ |
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Checks must be made payable to John Teichmoeller.
Checks payable to other payees will be returned.
Rates valid until 6/30/2000.
Contact coordinator after that date for any changes.
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