Membership Application

Name ___________________________________________________
Address ___________________________________________________
___________________________________________________
City ___________________________________________________
State ________ Postcode __________
Home Phone ___________________________________________________
Work Phone ___________________________________________________
E-mail ___________________________________________________
( ) Senior $ 15
( ) Individual $ 25
( ) Family $ 35
( ) Sustaining $ 100
( ) Organization $ 1,000
( ) Corporate $ 5,000

Revised July, 2006

Print this page and mail to:

Arizona Rail Passenger Association
P.O. Box 10534
Scottsdale, AZ 85271

or Phone:

480/947-5710. We honor Visa and Mastercard.