LGB Model Railroad Club of Chicago
Membership Application
( Please provide the information and check boxes as applicable. Thank You! )
Name: __________________________________________________
Address: ________________________________________________
City, State, Zip:  ___________________________________________
Telephone Numbers
Home: ______________________ Work: _______________________
E-Mail Address ____________________________________________
We publish the LGB Chicago Express, a monthly newsletter, in printed and electronic editions. The printed edition is in black &white; it is distributed by first class mail.  The electronic edition is in color; it is distributed by e-mail as an Adobe Acrobat PDF file.
How do you want to receive the newsletter?

[    ] First Class Mail,    [    ] E-Mail or   [    ] Both


In the first quarter of each calendar year, the club publishes a directory of members names, addresses, telephone numbers and e-mail addresses. The directory facilitates contact between members. It is distributed to members who choose to be listed. Most members choose to be listed. They include their home telephone number and their e-mail address.

Do you want to be listed in the directory?
[   ] Yes or [   ] No.  Which telephone number should we list?
  [   ] Home,  [   ] Work or  [   ] None.
Should we list your e-mail address?  [   ] Yes or  [   ] No.
Please make your check for $22 payable to LGBMRRC of Chicago.
Send your check and this form to 773 N. Sterling Rd. Inverness, IL  60067-4272
Date/Amount received
Member No.
Date Recorded
Deposit Date
Card Sent





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