Western New York Gas & Steam Engine Association

    WNYG&SEA 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


CONTACT INFORMATION

  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:

WNYG&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....Avoid the RALLY RUSH!

OFFICE USE ONLY

_________________________________________________________________
 Date :                            Date approved:                    Payment amount               check#_______ CASH______

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