| Please fill out this form and print using your browser's print button | |
| Mail the printed form to: | Pacific
Southwest Railway Museum | 
| 4695
Nebo Drive | |
| La
Mesa, CA | |
| 91941-5259 | |
| Make check or money order payable to: | PSRM | 
| Full Name | |
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| Postal Delivery | 
| Please choose one of the following membership categories | ||||
|---|---|---|---|---|
| (Note: Students are 18 and younger, and Seniors are 62 and older.) | ||||
| Senior $20 | Family $40 | Sustaining $150 | Gold Spike $1000 | |
| Student $20 | Contributing $50 | Senior Life $300 | Benefactor $5000 | |
| Individual $30 | Supporting $75 | Life Member $750 | ||
| Please mark any and all volunteer categories that interest you | |||
|---|---|---|---|
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