3713 Contribution Form

 

Please Accept my tax deductible contribution to the effort to restore the Boston and Maine #3713.

 

 

Name : _________________________________________________________

Address : _______________________________________________________

City/State/Zip : __________________________________________________

Area Code/Phone : _______________________________________________

 

Please send check or money order (US funds only, no cash please) or : Please charge my __ Visa Card, __ MasterCard

 

Card No. : ________________________________________Exp. Date ______

Signature : _______________________________________________________

 

 

Make check payable to "Locomotive Restoration Fund"

Mail donation to: Locomotive Restoration Fund, Lackawanna & Wyoming NRHS, P.O Box 3452, Scranton, PA 18505-0452

 

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