The Komoka Railway Museum Inc.
1. Please renew my membership at the Komoka Railway Museum.
___ -I have enclosed CDN$25.00 for a renewal.
2. Please register me as a new member for the Komoka Railway Museum.
___ -I have enclosed CDN$25.00 for an adult membership.
___ -I have enclosed CDN$15.00 for a student membership. I am ___ years old.
Phone: (____) ______-__________
I am also willing to help on the following committees (circle):
Archives Artifact Display Guide Grounds Fund Raising
Newsletter Model Display Social Website Rolling Stock
I would prefer to make a donation of CDN$________________ Tax receipt YES or NO