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The South Carolina Railroad Museum, Inc.
P. O. 7246, Columbia, SC 29202-7246
Membership Application

(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:

.. Brakemanís Club - $100 - Receives 2 free passes in the First Class Coach good for anyone on any operating day.

.. Ticket Agentís Club - $500 - Receives 5 free passes in the First Class Coach good for anyone on any operation day.

.. Engineerís Club - $750 - Receives 10 free passes in the First Class Coach good for anyone on any operating day.

.. Conductorís Club - $1,000 - Receives 15 free passes in the First Class Coach good for anyone on any operating day.

.. Superintendentís 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:

Membership Secretary, South Carolina Railroad Museum, Inc.,
P. O. Box 7246, Columbia, SC 29202-7246246


For Museum Use Only: Date Recíd: _________________Check #: _______________ Cash: __________ CC:_____________
Date Membership Card Mailed: __________________ Membership from/to (dates): _________________________________
Comments: _____________________________________________________________________________________________

Copyright © 2011 SCRM Membership Form.doc Rev. 5/30/11