TRAINS ON STAMPS
THANK YOU FOR YOUR INTEREST IN THE CASEY JONES RAILROAD UNIT-ATA

A one-year membership will bring you six issues of our bi-monthly newsletter, The Dispatcher.
If you would like to join us, please complete the form below, and return it with your membership fee.

NOTE: We gladly accept gifts/donations to the Society. Please specify amount. (All contributions are tax-deductible)

-------------------------------------------------------------------------------- PLEASE PRINT OR TYPE -------------------------------------------------------------------------------------

NAME ______________________________________________________________________________________

STREET ADDRESS ____________________________________________________________________________

CITY __________________________________________________ STATE/PROVINCE _____________________

ZIP/POSTAL CODE ____________________ COUNTRY ______________________________________________

BIRTH DATE (optional): ____________ Email: ____________________________________Telephone Number__________________

URL of your personal web site about trains or rail philately: _____________________________________________

Are you an ATA member? Yes ___ No ___ (ATA membership is not required for CJRRU membership)

Which of these Dispatcher features will you use?   . New Issues Listings ____ Articles _____ Ads _____

Which of these rail-related stamps do you collect?

           Trains/Engines __ Trams/Trolleys, etc. __ Bridges __ Cranes __ Railway stations __ People __

Which of these other train-related items do you collect?      Pictorial cancels __ Covers __ FDC's __

           Meters __ RPO's __ Stationery __ Post cards _ Engravings __ Cinderellas __

Where did you hear about the Casey Jones Rail Road Unit?

_________________________________________________________________________________________

Some of our members like to correspond with other members for exchange purposes.

You may publish my name: YES ___ NO ___ my address: YES ___ NO ___ my email address: YES___ NO___


PAYMENT amount enclosed: _________________ Dues: ________________ Contribution: _______________

PLEASE DO NOT SEND CASH - Checks/Money Orders should be made out to "CJRRU-ATA"
DUES:

   U.S. - $15 per year
   Canada/Mexico - $17 per year
   Other non-US - $20 per year
   Juniors (under 21, U.S. only) - $10 per year
PRINT, FILL OUT, and MAIL
this form with your payment to:


CJRRU-ATA
P.O. Box 5511
Topeka, KS 66605