Membership Application

* Name:

* Address:

* City:

* State:

* ZIP:

Home Phone:

Cell Phone:

* Email Address:

* Confirm Email Address:

Your areas of interest:

Dues and Fees

$75 - Regular Membership Annual Dues

$50 - One Time Initiation Fee (required for regular memberships only)

$10 - Spouse Annual Dues

Name:

$10 - Junior Membership (under 18) Annual Dues

Name(s):

$30 - Non-resident Membership Annual Dues - Must live outside a 75 mile radius of any MLS facility

$100 - Optional one time fee so that you may operate club locomotives any time other than public ride days

$25 - Annual Locomotive or Rolling Stock Use Fee

After filling out the above information, complete this application by clicking the submit button below. Then mail your check, payable to Maricopa Live Steamers, for the amount owed to:

Bob Douglas
17017 N. 12th St. Unit 1045
Phoenix AZ 85022

Please click the Submit button below once and wait a minute.
You will be taken to another page after your application has been recorded.
Pressing submit more than once results in multiple copies of your application being recorded.

* Indicates Response Required


This form created at http://www.formsite.com/