Rails to Raleigh Registration Form

Registration Form

Rails to Raleigh
MER 2005 Fall Convention
October 27 – 30, 2005

Please complete this form on screen, then print with the button below, sign, & mail with payment.

Is this a new registration or an updated registration ?
If this is an updated registration enter your Registration Number here

Names as you wish to have them appear on your badges:

Name of primary applicant:
Address — Street
City, State, Zip Code
E-mail Address:
Telephone Number
NMRA Membership Number:		MER Number:

Make checks and money orders payable to: Rails to Raleigh '05
All activities are ala carte including the Banquet.
Item	Quantity	Fee	Total Cost
Full Registration, NMRA Member		$50.00
Full Registration, NMRA Member, if paid by September 15		$45.00
Additional Registration Fee, Non-NMRA Member		$15.00
Spouse Registration		$15.00
Child (Ages 6 – 16) Registration, Per Child		$5.00
Single Day Registration, Per Day, NMRA Member		$30.00
Single Day Registration, Per Day, Non-NMRA Member		$35.00
101 Operations Call Board — Thursday, 7:00–10:00pm		$5.00
102 Operations Call Board — Friday, 9:00am–12:00noon		$5.00
103 Operations Call Board — Friday, 2:00–5:00pm		$5.00
104 Operations Call Board — Saturday, 2:00–5:00pm		$5.00
201 NCDOT Rail Yard Tour		$5.00
202 New Hope Valley Railroad Tour		$10.00
301 NC Transportation Museum (Spencer) Tour		Cancelled
401 Banquet, Per Person		$40.00
501 Company Store: Stewart 70-Ton 14-Panel 3-Bay Hopper Durham & Southern		$15.00
502 D&S Hopper shipping (if not picked up at Convention)		$5.00
601 Extra Fare Clinic: Scrathbuilding with Wood		$10.00
602 Extra Fare Clinic: Truss Bridge Building — Friday, 7:00–9:30pm		$5.00
603 Extra Fare Clinic: Building Tobacco Barns		$5.00
604 Extra Fare Clinic: Making Trees		$6.00
605 Extra Fare Clinic: Cancelled		$0.00
606 Extra Fare Clinic: Fine Scale Animation for Operation		$5.00
607 Extra Fare Clinic: Creative Memories Clinic		$5.00
608 Extra Fare Clinic: Truss Bridge Building — Sat, 9:30am–12noon		$5.00
Total FEES Enclosed, $

Mail completed applications (with payment made out to "Rails to Raleigh '05") to:

Rails to Raleigh
PO Box 447
Swedesboro, NJ 08085

Payment must accompany registration form. Bounced checks will not be put through twice — you will be required to pay your entire fee by money order or cashier's check through the mail or in cash at the convention. You will be responsible for all bank fees charged. DO NOT enclose hotel room registration requests. If you pre-register and later need to cancel, a full refund will be given only if the request is received by the registrar in writing by October 15, 2005. Allow 4 to 6 weeks for processing of your refund. DO NOT mail a registration after October 15, 2005; register at the door. DO NOT staple your check or money order to your registration form. Call 856-467-3385 for a recording of current changes and updates. All activities are subject to change, substitution, addition or cancellation.

OFFICE USE ONLY:

Received:_____________ Check #:__________ Amount:____________ Registration No.: ___________ Confirmation Sent:__________

Instructions

Registration Form

Rails to RaleighMER 2005 Fall ConventionOctober 27 – 30, 2005

Rails to Raleigh
MER 2005 Fall Convention
October 27 – 30, 2005