(please circle one) New / Renewal
Name: ___________________________________________________________________________
Address: _________________________________________________________________________
City: ___________________________ State/Providence: _________ ZIP/Postal Code: __________
Country: ____________________________Phone #: _____________________________________
Email Address: _________________________________________________________________
Occupation/Skills:___________________________________________________________________
My employer has a matching donations program. .. Yes .. No
Regular Memberships
(Please circle only one type of membership: Regular or Lifetime):
.. Individual - $25.00 (Age 19 & Older) .. Family - $35.00 (Carries only 1 vote)
.. Youth - $17.00 (12 To 18 Years Old) .. Senior Citizen $18.00 (Age 62 & Older)
Lifetime Memberships
(Please circle only one type of membership, Regular or Lifetime):
.. $1,000.00 (Ages 20 to 30) .. $600.00 (Ages 41 to 50) .. $200.00 (Ages 62+)
.. $800.00 (Ages 31 to 40) .. $400.00 (Ages 51 to 62)
Areas of Interest and Skills (Please check all that apply):
Car Restoration ___ Gift Shop ___ Advertising ___ Carpentry ___ Computer____
Equipment Maintenance ___ Gallery ___ Tour Guide ____ Electrical _____
Track Maintenance ____ Display Train ____ Plumbing_______Painting_____
Grounds Maintenance ____ Train Crew _____ Welding_____Newsletter _____
Car Host ____ Ticket Sales ___ Charters ___ Heavy Equipment Operation ______
Other _________________________________________________
Benefactor Donations
(These donations do not include memberships.):
I would like to join other rail and history aficionados in supporting the development of the Rockton
and Rion sites at the South Carolina Railroad Museum.
Enclosed is my Donation as indicated:
.. Brakeman’s Club - $100 - Receives 2 free passes in the First Class Coach good for anyone on any operating day.
.. Ticket Agent’s Club - $500 - Receives 5 free passes in the First Class Coach good for anyone on any operation day.
.. Engineer’s Club - $750 - Receives 10 free passes in the First Class Coach good for anyone on any operating day.
.. Conductor’s Club - $1,000 - Receives 15 free passes in the First Class Coach good for anyone on any operating day.
.. Superintendent’s Club - $1,500 - Receives 20 free passes in the First Class Coach good for anyone on any operating day.
Please do not mail cash! Make checks or money orders payable to
SSouth Carolina Railroad Museum, Inc. and mail to: