P.O. Box 33397 Philadelphia Pa 19142-0397
Name: __________________________________ Today's Date: ________________________
Address: _________________________________ Home Phone: ________________________
City: ____________________________________ Occupation (optional): __________________
State: ___________________________________ Age ________________________________
Zip Code: _____________-_________ E-mail : _______________________________________
Let us know how you found out about FPT". ________________________________________
I hereby apply for the class of Annual Membership in Friends of Philadelphia Trolleys checked below, and enclose the current dues.
|[ ]||Student Under 18||$15|
|[ ]||Retired Over 60||$25|
|[ ]||Life Time Member||$500|
Please make check payable to: Friends of Philadelphia Trolleys
Please mail to: F.P.T. P.O. Box 33397 Philadelphia Pa 19142-0397
A Non-Profit Corporation
Membership Number___________________________ 05/14/2005
Membership dues are due in April, please put you membership number on the check. New members will get their membership number when they sign up.