Burlington Route Historical Society
2017 FALL MEET ON-LINE REGISTRATION FORM

On-Line Instructions: After completing this form, press the 'Submit Button' below and you will be taken to the Online Payment page. On the Payments page you may pay with a credit card or your PayPal account. Payment by mail: If you do not want to pay on-line, please click here to print off the PDF form then mail it in with your check or money order.

* = Required Fields

(Do not hit the ENTER key to move from field to field - use the Tab key.)

First Name  A value is required.*     Middle Initial   
Last Name   A value is required. *
E-mail Address  A value is required.Invalid format. *
Phone Number  A value is required.Invalid format. * format: (999) 123-4567
Address    Apartment/Suite/etc.
City     State/Province      ZIP/Postal Code   
Country  
Note: On the options below, please indicate the number of folks that are going to participate.    

Thursday Operation at IRON CROSS
Limited to first 18 Registrants! (If not among the first 18, you will automatically be signed up for the Thursday I&St L tour)

  Cookout at the Diamonds  
Thursday Open Tour at I&St L    Guest Names :
Friday Open Tour at IRON CROSS   
I volunteer to assist during the meet.
       

 

Updated: 08/18/17