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Membership Application Orange County                                                     P.O. Box 3577
Module Railroaders                                         Fullerton, CA 92834-3577

Name__________________________________________ Date_________

Address_____________________________________________________
            _____________________________________________________
                   street                                     city                          zip
Phone # ( ____-_____-______) cell?____-_____-______  Age_______
 Email Address_____________________________________________
 Sponsor (required if under 18)_________________________________
Interest in Model Railroading:
How Long? __________Scale(s)_______
Motive Power?
 Diesel____  Steam____  Traction____  Narrow gauge____

Do you have a layout? _____  What Type? ___________________________
NMRA  Membership Number: _______________  (Required)
Favorite aspects of Hobby:  _______________________________________
____________________________________________________________
____________________________________________________________
Railroad(s)/Era(s) modeled?_______________________________________
____________________________________________________________

What hobby related magazines do you buy?____________________________
____________________________________________________________

Modeling level?                 ready to run _______  basic kits_____
                          advanced/craft kits______  scratch/Bash_____

Are you interested in:                Building a Module? _________
                          Maintaining a club owned module? _________
  Operations_____  Structures_____  Scenery_____  Wiring_____
other interests _________________________________________________
____________________________________________________________
I have received a copy of the club by-laws and I understand all the terms
and conditions necessary for membership and will comply with them
while associated with the club.

Signature___________________________________

      Sponsor's signature __________________________________
 (only required if applicant is under 18)

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