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CSG LEAFLET APPLICATION

Connecticut S Gaugers Membership Application

Join The Connecticut "S" Gaugers

Fill out the form below along with $10.00 and send to:
Bill Fuhrman
174 Lakes Road
Bethlehem, CT 06751
Connecticut S Gaugers Membership Application

 

NAME:__________________________________________________________

ADDRESS:_______________________________________________________

CITY:_________________________ STATE__________ ZIP_______________

PHONE:_(_____)________________ BEST TIME TO CALL:__________________

E-MAIL ADDRESS:_________________________________________________

MY INTERESTS ARE:________________________________________________

(AF, Hirail, Scale, Operator, Collector, etc...)

HAVE AN OPERATING LAYOUT? YES____ NO_____ SIZE: ______ X ________

AREAS OF EXPERTISE:______________________________________________

OTHER CLUB AFFILIATION:___________________________________________

WOULD YOU BE INTERESTED IN BUILDING A MODULE?_______________________