On-Line Membership Application For Circus Model Builders, Inc.

Note: If your browser does not support forms, you can send all required information via e-mail to the CMB Secratary by clicking here.

Please select one:     New Membership          Membership Renewal

Name     Age

Auxiliary Member's Name

Address

City     State   Zip + 4   -

Country    E-mail

Phone      I want to be listed in the CMB membership roster.

I authorize the CMB to put my phone number in the membership roster.

I authorize the CMB to put my e-mail address in the membership roster.

Please list the scale(s) you model in. (Z, N, HO, O, O27, G, etc.)

Dues From January 1 to December 31

New members recieve all this years issue of the LCW

Regular Membership	(U.S.A. Canada, Mexico)	$40.00
Auxiliary Membership	(relative of member or other interested person. Non-voting, does not recieve LCW)	$5.00
Student Membership	(16 up to 20 years of age, full time student) WITH LCW	$30.00
Junior Membership	(8 up to 16 years of age) WITH LCW	$25.00
Family Membership	(Adds voting spouse/partner and all family members under 16 years of age to 1 of the above memberships, recieves one LCW) Add $10.00	+$10.00
International Membership	Addresses outside of U.S.A., Canada, Mexico Except for Auxiliry, add $15.00 to above to cover overseas postage	+$15.00
Contributing Membership (includes regular dues & 1st class mail for LCW)
WAGONMASTER		$50.00
RINGMASTER		$65.00
OPTIONAL
CMB Advertising Fund		$
CMB Promotional Fund	In Memory of	$
Other Donations	In Memory of	$
	Total Due	$
Payments accepted in US funds only - drawn on US banks only - payable to Circus Model Builders, Inc.

If you are a current member of the CMB please enter your CMB number in this box

Membership incentive: If you were recruited by a CMB, please provide the name and CMB number of the person who recruited you.

I was recruited by CMB #

Using the schedule above,please send check or money order to:

Jack & Dorris Stoddard, Secretaries
Circus Model Builders, Inc.
6701 Manlius Center Road
Suite 111-128
East Syracuse, NY 13057

If you are a current CMB member, please put your
CMB # on your check or money order.

If you would like to print out this form and mail it in, just go to your browser's File function and select Print.