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Name:
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Telephone:
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Street Address:
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E-Mail:
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City/State/Zip:
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Age Group:
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Years-in-Hobby:
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Occupation:
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If you have a home layout, please provide a brief description:
Member of other Model RR Club or Organization:
Please indicate by number those phases of the hobby you are skilled and interested in:
(on a scale of 1 to a 5, with 5 representing the greatest skill and interest level)
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Category
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Skilled
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Interest
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Category
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Skilled
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Interest
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Track Work
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Structures
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Electrical
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Operation
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Locomotives
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Maintenance
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Cars
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Construction
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Scenery
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Other
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Any comments concerning your desire to join our club:
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Signature: _________________________________________
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Date: ___________________
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This is a Print and Mail application form, so just print it out, then fill it out and finally, send it
in.
Our dues include a one-year membership to the national NTRAK organization now called NRAIL and the
national NRAIL newsletter. The national NRAIL annual dues are processed in June,
therefore your national NRAIL membership will be adjusted accordingly. Send your
completed application form with a $35.00 check payable to "Northeast NTRAK"
to:
Northeast NTRAK Membership
62 Depot Rd
Leverett, MA 01054
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