Friends of Buffalo Central Terminal Membership Form
See bottom of page for mailing & contact information PLEASE PRINT CLEARLY

Name(s): _____________________________________________

Address: _____________________________________________

_____________________________________________

Email: _____________________________________________

If you are giving this membership as a gift, please enter the recipient’s information below.

Name(s): _____________________________________________

Address: _____________________________________________

_____________________________________________

Email: _____________________________________________

Personal Message:
____________________________________________________________________________________________________________

Member Information

Have you ever been a member? _____Yes _____No
If yes, and you know your previous membership number, please enter it here: _________

Level of Membership
(Place an “X” in front of your desired level)
_____STUDENT ($15)           _____SENIOR($15)
_____INDIVIDUAL($25)       _____FAMILY($35)
_____PORTER($100)             _____BRAKEMAN($250)
_____ENGINEER($500)        _____CONDUCTOR($1000+)

Please make all checks and money orders payable to:
“The Central Terminal Restoration Corporation”

Print and mail this form along with payment to:

Central Terminal Restoration Corporation
PO BOX 1330
North Tonawanda, NY 14120