Märklin Trains: Märklin Club >> Membership Application Form


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DIGITAL CLUB MEMBERSHIP
( ) YES, I want to join the Märklin Digital Club for one year:
        ( ) $12.00 (U.S. & Canada)
        ( ) $20.00 (International)
        ( ) $8.00 (E-mail subscription all countries)

( ) YES, I want to join the Märklin Digital Club for two years:
        ( ) $24.00 (U.S. & Canada)
        ( ) $40.00 (International)
        ( ) $16.00 (E-mail subscription all countries)

SENIOR CITIZEN DISCOUNT
( ) YES, I am 62 years or older and I would like to apply the 10% discount to my membership fee.

TOTAL AMOUNT DUE $__________________(U.S. funds only)

Please allow 2-4 weeks for delivery of your first newsletter.

Method of Payment:
( ) Check
( ) VISA
( ) MasterCard
( ) Money Order

Credit Card Acct. # __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Exp. Date __ __ / __ __

Signature__________________________________________

Name_______________________________________

Address______________________________________

City________________________State (Country)_______________

Zip or Postal Code________________

Phone No._____________________________

E-Mail Address____________________________

Mail to:

Märklin Club
PO Box 510559
New Berlin, WI 53151-0559

OR, if paying by credit card, you may FAX this form to (262) 784-1095