New England Electric Railway Historical Society
SEASHORE TROLLEY MUSEUM
Corporate Membership Application
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Yes! My company wants to enjoy the benefits of Museum membership.

Corporate Name - Please Print clearly: _____________________________________________

Mailing Address: _____________________________________ Telephone: _________________

City, State, Zip: _________________________________________________________________

Corporate Website: _____________________________________ Full-Time Employees: _______

Email Address: _________________________________________________________________

[__] 1-5 Employees $60 per year 2 Seasonal Family Passes & 2 Day Passes
[__] 6-25 Employees $150 per year 5 Seasonal Family Passes & 5 Day Passes
[__] 26-50 Employees $300 per year 10 Seasonal Family Passes & 10 Day Passes
[__] 51-100 Employees $600 per year 20 Seasonal Family Passes & 20 Day Passes
[__] 101+ Employees $900 per year 30+ Seasonal Family Passes & 30+ Day Passes

Contact the Museum to obtain discount coupons to use as gifts to customers and friends of your corporation.

Enclosed is my membership in the amount of... $___________

Also enclosed is a donation of... $___________

  Total... $___________

I prefer to pay with: [__] Check [__] Charge Card, Type (Please circle): AMEX - MC - VISA - DISC

Card/Check #: _____________________________ Exp. Date: ___/______ Verification #: _________
- The verification number is a 3 or 4 digit number usually found on the back towards the right side of the signature box.

Signature: _________________________________________

Contact Name: _________________________________________

Please make checks payable to the "New England Electric Railway Historical Society"
Donations to the NEERHS are tax deductable under Section 501(c)(3) of the Internal Revenue Code.

Please mail this completed application form to:
Seashore Trolley Museum
P.O. Box A
Kennebunkport, ME 04046-1690

Thank you for your generous support of the Seashore Trolley Museum.
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