Please print out a copy of this page, complete the questions and send this form along with a check payable to "Treasurer, NHRHTA", to:
Richard Pedersen, NHRHTA Membership Chairman
57 Kossuth Place
Wayne, NJ 07470
E-mail: nynhh@msn.com
Please print the following information:
Name (Last, First):___________________________________________________________________________________
Mailing Address:____________________________________________________________________________________
City:___________________________________________ State:____________________ Zip:______________________
Country:_________________________________ Telephone:____________________________ Date:________________
E-mail Address:_____________________________________________________________________________________
Are you a former NHRHTA member? [ ] yes. [ ] no.
Membership category: United States resident -- [ ] Regular ($30.00). [ ] Sustaining ($40.00).
Membership category: Canadian resident -- [ ] Regular (US$41.00). [ ] Sustaining (US$51.00).
Membership category: Other Foreign resident -- [ ] Regular (US$69.00). [ ] Sustaining (US$79.00).
By becoming a Sustaining Member, your donation helps the NHRHTA expand its production of magazines, books, videos and other New Haven Railroad related material. Please consider a Sustaining Membership. Thank you.
Canadian and foreign subscribers - please contact Rich Pedersen via mail or E-mail BEFORE sending any funds. He has PAYMENT ALTERNATIVES that may save you currency conversion fees.
Please include a check for your membership category amount payable to "Treasurer, NHRHTA" and mail this completed form to:
Richard Pedersen, NHRHTA Membership Chairman
57 Kossuth Place
Wayne, NJ 07470
E-mail: nynhh@msn.com