Membership Form

Thank you for joining and supporting Old Pueblo Trolley. Please print out this page, fill out the entire form, then send it with your contribution (made payable to Old Pueblo Trolley) to:

Tony Haswell
Membership Chair
Old Pueblo Trolley
P.O. Box 1373
Tucson, AZ 85702

Because Old Pueblo Trolley, Inc. is a 501(c)(3) non-profit organization, your contribution is tax-deductible to the full extent of the law.


Name


Address


City, State, Zip


Phone (with area code)


e-mail


Date


Membership level (please check one):
$15     Student/Senior $25     Regular
$50     Honorary Motorman $100   Contributor
$250   Donor $500   Sponsor
$1000 Benefactor $2500  Life

Special Interest Area(s)

Street Railway (trolley)

Buses

Southern Arizona Transportation Museum

Please send me information on Volunteer Opportunities


Amount Enclosed: $


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                                                Tucson, Arizona 6 May 2005