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PERSONS ELIGIBLE: Any person (living or
deceased) who earned a living on the railroad.
PER NAME: A minimum donation of $ 25.00 (for which a charitable receipt is
issued at
the end of each year) provides a 2" x
4" brass plaque mounted on the Wall of Fame with
the information provided below.
Please
fill out this form completely - printing would be appreciated to ensure
legibility.
DATE OF APPLICATION: _______________________
DONOR'S NAME: _____________________________________________
ADDRESS: _______________________________________
_______________________________________
POSTAL
CODE: ________________
TELEPHONE:
__________________
PLAQUE IN HONOUR OF: ______________________________________
POSITION (i.e. - Conductor): ___________________________________
RAILWAY (i.e. - Canadian National): _____________________________
DATES WORKED (i.e. - 1921 - 1940): ____________________________
Please make your cheques payable to: Elgin County Railway Museum, Inc.
Forward
them to:
Elgin
County Railway Museum
P.O.
Box 20062
St. Thomas, ON,
CANADA
N5P 4H4
Attn:
Harry Whittaker
For further information,
please call the museum at 519-637-6284.
Thank you for supporting the
Elgin County Railway Museum.
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