HOSTLER’S MODEL RAILROAD CLUB APPLICATION & SURVEY
Print this page out, complete and mail to:
Mike Murphy, 752 W. 4375 S., Riverdale, Ut. 84405,
Phone: 801-394-4952

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Please answer as many as you can.

1. My favorite scale is LGB___O___HO___S___N___Z___Other______
2. My second choice would be LGB___O___HO___S___N___Z___Other____
3. My favorite part of model railroading is:
Reading___Trackwork___Painting___Detailing
Wiring___Electronics___Structures___scenery___Locomotives___
Freight or Passenger cars___Operation___Watching___Other___
4. Do you have a model railroad in your home? Yes___No__
If not, are you planning a layout? Yes___No___
5. Do you need help planning a layout? Yes___No___
6. Do you currently belong to a model railroad club? Yes___No__
If so, which one?___________________________
7. If you don't belong to a club, would you like to? Yes___No___
8. Would you be interested in helping other club members work on
layouts in their homes? Yes___No___
9. Would you like to build a module? Yes___No___
If so, do you need plans? Yes_No- Help? Yes___No___
10. Would you like to visit model railroad layouts in the area?
Yes___No___ On a meeting night? Yes___No___
11. Do you have any special talents that you could share with the club
or it's members? Yes___No___ For example____________________
How could the club best help you?

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To Apply for Membership Fill in the information below: (Please Print)

NAME____________________________________ DATE__________
STREET________________________________________
CITY,________________________ STATE,__________ ZIP__________
BIRTH DATE__________________
HOME PHONE______________________
WORK PHONE______________________
CELL PHONE_______________________ Email_____________________
WHAT MEMBERSHIP CATEGORY?_______________________
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(to be completed by club officer)

MEMBERSHIP CATEGORY______________AMOUNT PAID__________ (New member include addition $5 surcharge above membership fee)

MEMBERSHIP CARD ISSUED YES___ NO____ DATE PAID__________