To join the
or renew your current membership, simply print this form, fill it out, and either mail or fax it to Lionel.
Credit card orders may be faxed to 586-949-5429. Please allow 8 weeks for processing. Sorry, we do not accept
multiple-year memberships.
Yes! Sign me up for the :
Membership #: _____________________________ (if renewing) Expiration Date: ____/____
Member Information
Name: _________________________________________________________________________
Address: _______________________________________________________________________
City: ____________________ State: ______ Zip: ____________ Country: ___________________
Day Phone: ____________________________ Evening Phone: ___________________________
Email: _________________________________________________________________________
Date of Birth: ____/____/____
Billing Information
Name: _________________________________________________________________________
Address: _______________________________________________________________________
City: ____________________ State: ______ Zip: ____________ Country: ___________________
Phone: __________________________________ Email: _________________________________
Payment Information
Check / Money Order Enclosed
VISA / MasterCard / Discover / American Express
Card Number: __________________________________________________
Expiration Date: ____/____ CVV: ____________
I certify that I am at least 18 years of age or older.
Signature: _____________________________________________________
26750 Twenty-Three Mile Road
Chesterfield, Michigan 48051-1956
Questions? Call (586) 949-4100, ext. 9104
Fax:(586) 949-5429