(Print this form, fill it out and mail it with your payment.)
Name: __________________________________________________ Address: _______________________________________________ City: __________________________________________________ State and Zip: _________________________________________ Telephone: (_________) _________________________ E-Mail: _________________________________________ One year regular membership $20.00 (Senior/Student members $15.00) Amount enclosed: $__________ Make checks payable to: IARP Mail to: Iowa Assn. Railroad Passengers 1422 W. 9th Street Davenport, IA 52804-4018
Note: IARP is a tax-exempt organization under section 501(c)(4) of the IRS code, however contributions to IARP are not tax-deductible.