Yes, I want to become a member of the American
Association of Railroad Superintendents
Name ___________________________________________________________________
Title ___________________________________________________________________
Railroad, Company, or Agency ________________________________________________
Division or Department (if applicable) ___________________________________________
Address _________________________________________________________________
City, State, Zip ____________________________________________________________
Birth Date ________________________
Phone __________________________
Fax ____________________________
Email __________________________
Date __________________________
Recommended by _____________________________________
Your Signature _______________________________________
Enclosed is my check for one year dues
of $75.00 U.S. Funds