Buy a Railway tie

For each tie, please Print the name of the person to be applied
( Max 10 characters per line. Max 2 lines. Each space counts as a character )
If more space required, please attach a sheet with the additional names.

________________________________________________________________________

________________________________________________________________________

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Total number of ties ________

    x $50 per tie ________

Total $________

Name of person purchasing ties:____________________________________________

Address_______________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Phone_________________________________________________________________

 

Method of Payment:

Cash______

Cheque_____

 

 

Mail to:
Alberta 2005 Centennial Railway Museum Society
Box 383
Beiseker Ab Canada
T0M 0G0
(403) 279-5685