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Pike Registration Form
Name:
Address 1:
Address 2:
City: State:
Zip / Postal Code: Country:
E-mail (Optional)
Telephone Number (include country/area code) (Optional)
NMRA membership is required to participate.
NMRA member number: Expires
Model Railroad Name
Previous certificate number: Dated:
Reporting marks:
Scale of Railroad:
Visiting codes:
Exchange Information:
Unless specified the PRC will assign a NV visiting code and an N exchange code.
Today's date
The NMRA does not guarantee nor imply that any registered name is exclusive. It does certify that a registered pike name has not been registered to another modeler, and will not be released to any other applicant during the two year the originating registration is valid. Continued registrations for the same pike name by the originating member will be honored.
Include $10.00 for each railroad name requested for listing, reporting marks included. When a pike name is registered, the reporting marks are included in the registration. You will receive an NMRA Pike Registration Certificate, suitable for framing, and a CD that contains the 2005-2006 issue of the Pike Registry. TO AVOID PUBLICATION ERRORS PLEASE PRINT YOUR INFORMATION CLEARLY.
Please make checks payable to "Pike Registry (NMRA)".
Send completed form and registration fee to:
Rod Fredericks
NMRA Pike Registration
640 Chippenham Dr.
Baton Rouge, LA 70808