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Membership Form

Thank you for joining and supporting Old Pueblo Trolley. Please print out this page, fill out the entire form, then send it with your contribution (made payable to Old Pueblo Trolley) to:

Tony Haswell
Membership Chair
Old Pueblo Trolley
P.O. Box 1373
Tucson, AZ 85702

Because Old Pueblo Trolley is a 501(c)(3) non-profit organization, your contribution is tax-deductible to the full extent of the law.

Name

Address

City, State, Zip

Phone (with area code)

email

Date

 

 Membership level (please check one):

$15 Student/Senior $25 Regular
$50 Honorary Motorman $100 Contributor
$250 Donor $500 Sponsor
$1000 Benefactor $2500 Life

 

Amount Enclosed: $ _______________________

 

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