Wisconsin Historical

Steam Engine Association

Type in your information, print form using your browsers print button, and with your membership dues mail to the membership contact person.

NEW MEMBER-Membership Form

Please fill out one membership form per person.

Name

Street Address

City State Zip

Phone No.

E-mail

Number of years operating engines

Number and type of engines owned

Clubs or organizations you are a member with

Shows that you display at

As a member of the Wisconsin Historical Steam Engine Association Inc., I agree to honor the bylaws of the organization.

Signature Date

The annual membership fee is $20 per person. Please forward your membership form and dues, payable to the Wisconsin Historical Steam Engine Association Inc. (WHSEA) to the membership contact person.

Membership contact

Vicky Bloemers

221 Seifert St.

Adell, WI 53001

920-838-1798