Weatern New York Gas & Steam Engine Association

    WNYGSEA Membership form  
 Date --___________________

Membership type:         Single Membership            Term            1 YEAR          1 Year Family       10 YEAR Family           Lifetime
                                                                                                         $10                          $16                            $80                               $200

Family membership includes 2
adults and their Children Only

To help out in a  specific area of the club please  enter it here

To help out in a  specific area of the club please  enter  it here


  Street Address       City   

  State & ZIP             Phone   E-mail 

TO Pay By mail: Fill in form Save file and print a copy 

  Make check payable to   "WNYG&SEA inc.

Mail To:

WNG&SEA Pat Peterson, Secretary  at P.O.. Box 75, Alexander, NY  14005              
You must have your card in hand to gain entry to the grounds for free during the Rally Please leave enough time for mail delivery.
JOIN NOW....Avoide the RALLY RUSH!


 Date :                            Date approved:                    Payment amount               check#_______ CASH______

Card #'s      1. _________         2.      ___________  Mailed  __________  Picked up ______________