REGULAR MEMBERSHIP LEVEL= Entitled to one vote, all activities, three Burlington Bulletins, three Zephyr newsletters and one calendar during the membership year.
SUSTAINING MEMBERSHIP LEVEL = Entitled to all regular membership benefits
and you are recognized as a Sustaining Member in a Burlington Bulletin each year. $40.00 of a Sustaining Membership
is the portion that covers basic dues, the additional $40.00 is a tax-deductible donation to the BRHS.
CONDUCTOR'S CLUB LEVEL = Joining at the Conductor's Club level entitles you to all regular membership benefits and provides a $60 tax-deductible donation to the work of the BRHS. Members a this level
will receive special recognition with a special pin to wear and will be recognized in a separate group in our publications when
the Sustaining Members list is published.
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| Page 1 INSTRUCTIONS:
Fill in sections 1, 2, 3 ,and optionally 4 and 5 below. Click on the Submit button.
Also
See the illustrations at the bottom of this page for more information about the five easy steps in this on-line application process, and about the mail-in process.
Please allow several days for your membership to become active on this web site. All applications are reviewed for errors and omissions by BRHS volunteer members.
Following review, membership numbers, initial passwords and other
membership data are assigned to your account and will be sent to you.
* Required entry fields |
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| First Name: |
* |
| Middle Initial: |
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| Last Name: |
* |
| Company: |
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| Address 1: |
* |
| Address 2: |
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| City: |
* |
| State/Provenance: |
(USA and Canada only. Enter others below.) |
States other then in
the USA or Canada: |
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| ZIP/Postal Code: |
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| Country: |
USA or it's territories
Other (If 'Other' please enter country name below.) |
| Other Country: |
(A postage fee of $20 is applied to all destinations other then the USA.) |
| House Phone: |
999-999-9999 |
| Mobile Phone: |
999-999-9999 |
| email Address: |
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| Contact Method Preferred: |
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| Spouse: |
(optional) |
| How did you learn about BRHS: |
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| Level |
Regular - $40
Sustaining -$ 80
Conductor's Club - $ 100 |
| Term |
Years |
REGULAR MEMBERSHIP LEVEL= Entitled to one vote, all activities, three Burlington Bulletins, three Zephyr newsletters and one calendar during the membership year.
SUSTAINING MEMBERSHIP LEVEL = Entitled to all regular membership benefits
and you are recognized as a Sustaining Member in a Burlington Bulletin each year. $40.00 of a Sustaining Membership
is the portion that covers basic dues, the additional $40.00 is a tax-deductible donation to the BRHS.
CONDUCTOR'S CLUB LEVEL = Joining at the Conductor's Club level entitles you to all regular membership benefits and provides a $60 tax-deductible donation to the work of the BRHS. Members a this level
will receive special recognition with a special pin to wear and will be recognized in a separate group in our publications when
the Sustaining Members list is published.
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| Payment Method |
On-Line
Print and Mail in Check |
On-Line = Choose 'On-Line' if you wish to use your credit/debit card or use your PayPal account to make your dues payment quickly and easily on the secure PayPal platform. You don't need a PayPal account to pay on line. |
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Print and Mail = Choose 'Print and Mail' if you wish to mail in a check or money order. Following Page 3, the Confirmation Page, you will see a
Confirmation Statement of your purchases that you may print out and mail to the BRHS. |
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| Donations |
Thanks! |
| Apply My Donation To |
General Operations
Archives Legacy Fund
Other, Please Specify
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DONATIONS = When combined with your annual renewal of $40 or more, donations are tax-deductible.
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Comments
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| We encourage your comments and would love to hear from you. |
| Submit |
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