Byesville Scenic Railway, Inc.                                        

http://www.bsrw.org/

 


 

                                                                                                                                 P.O. Box 254

                                                                                                 Byesville, Ohio 43723

 

Membership Application

 

q       * Regular Membership ($25.00 per year) age 18 or older, voting member, unlimited rides.  B.S.R.W. patch for new members.        

 

q       Associate Membership ($15.00 per year) 4 rides but, excludes special events.

          

 

q       * Family Membership ($50.00 per year) one voting member, membership includes spouse or significant other & their children living at home, unlimited free rides. Please list family member’s names & ages on back.

 

q       * Individual Lifetime Membership ($250.00 one time fee)

                 Voting member, unlimited rides.  B.S.R.W. patch for new members. 

 

q       Institutional Membership ($100.00 per year)

 

 

q       Youth Membership ($15.00 per year) under age 18, unlimited free rides when accompanied by a parent or guardian.  B.S.R.W. patch for new members.

 

 

 Authorizing a credit card transaction below can facilitate payment.

 

In addition to dues, I would like to make the following donation to support the work of B.S.R.W.

Amount

       Frequency

q       $20.00

q       Single donation

q       $50.00

q       Monthly

q       $100.00

q       Quarterly

q       Other Amount  $________

q       Annually

 

Method of Payment

q       Cash

q       Check

q       Visa

q       MasterCard

Make check payable to B.S.R.W. and return this form to:     B.S.R.W.

                                                                                                         PO Box 254

                                                                                                         Byesville, Ohio 43723

 

Credit Card Authorization

 

Credit Card Number: _________________________________ Exp Date: ____________

 

Signature:  ______________________________________________

 (By signing, you authorize the B.S.R.W. to charge your account for the amount, frequency, and duration indicated above.)

 

q       Yes   I want to be a B.S.R.W. volunteer, Contact me:

 

* All volunteers must be:  Regular, Life, or Family members.

 

By completing this membership form, applicant permits the free use of their name and or image in B.S.R.W. promotional materials.

 

Please print clearly

 

Name:  __________________________________________________________________________________

 

Address: _________________________________________________________________________________

 

City, State, Zip Code: _______________________________________________________________________

 

Phone No: _______________________________ Cell No:__________________________________________

 

Email Address: _________________________________________Signature:___________________________

 

The mission of the Byesville Scenic Railway is to preserve, restore, maintain and operate historic and vintage railway equipment and to provide scenic train rides featuring a living history of the local coal mines. To promote, create and maintain a railroad and coal mining museum and display site for the education and entertainment of the general public, to assist in the economic development of the area and to operate same as a non-profit 501-c-3 organization. Donations to our organization are tax deductible.

                                                                                                                                                                                                                                           REV.   1/1/2008