Ruddles & Martins Stations
Historical Association ©

Application Form

ATTENTION: Please email information to 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 (tax deductable) donation:

Print this page and mail it with your donation to:

Ruddell & Martin Stations Historical Association (or RAMSHA)
c/o Elizabeth C. Lee - Secretary
Rt 4, Box 123AAA
Falmouth, KY 41040

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

Thank you!



I would like to contribute:

$10 $25 $50 $100 $500 Other

Comments:

Thank You for your support!

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