Ruddles & Martins Stations
Historical Association©

Application Form

ATTENTION: Please email informationto RAMSHA1780@aol.com or print and USmail (along with check) to the below address. Thanks!

First Name:
Last Name:
Address:
City, State, Zip:
Country:

Home Phone:
Work Phone:
E-Mail:

I am:

Interested in/Supportive of the Association
Descendant of Ruddles/Martins Captive

Male Female


Descendency or other Comments:


If you would like to make a donation:

Print this page and mail it with your check or money order to:

Ruddell & Martin Stations Historical Association (or RAMSHA)
c/o Elizabeth C. Lee - Secretary
618 Buckeye Hills Road
Falmouth, KY 41040

Please make checks payable to:
"Ruddell's & Martin's Station Historical Assoc.".

Thank you!



I would like to contribute (annual individual dues are $15 / family $20):

$15 $20 $50 $100 $500 Other

Comments:

Thank You for your support!

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