Membership

Type --Select Membership-- Advocate Bronze - $160 annually, $15 monthly Advocate Gold - $550 annually, $49 monthly Advocate Silver - $290 annually, $27 monthly Family - $80 annually Individual - $60 annually Senior - $50 annually Silver Rail Society - $1000 annually, $85 monthly Silver Rail Society PLUS - $2500 annually, $225 monthly Student - $50 annually Sustaining - $125 annually, $12 monthly

AnnuallyMonthly

Auto-renew membership at the end of the year

Membership Rate

Awarded Amtrak Points

USD

Opt-Out Of Receiving Amtrak Guest Rewards PointsYes, I want to OPT-OUT of receiving AGR points. Use 100% of my dues for rail advocacy

Amtrak Guest Rewards Number

Select Number of Family Members to Add 1 2 3 4 5 6 7 8 9 None

Member 1 First Name

Member 1 Last Name

Member 1 is over 18 years of age

Member 2 First Name

Member 2 Last Name

Member 2 Over 18Member 2 is over 18 years of age

Member 3 First Name

Member 3 Last Name

Member 3 Over 18Member 2 is over 18 years of age

Member 4 First Name

Member 4 Last Name

Member 4 Over 18Member 4 is over 18 years of age

Member 5 First Name

Member 5 Last Name

Member 5 Over 18Member 5 is over 18 years of age

Member 6 First Name

Member 6 Last Name

Member 6 Over 18Member 6 is over 18 years of age

Member 7 First Name

Member 7 Last Name

Member 7 Over 18Member 7 is over 18 years of age

Member 8 First Name

Member 8 Last Name

Member 8 Over 18Member 8 is over 18 years of age

Member 9 First Name

Member 9 Last Name

Member 9 Over 18Member 9 is over 18 years of age

Data Fields (Hidden)

Type (System) --Select Membership-- Advocate Bronze Advocate Gold Advocate Silver Family Individual Senior Silver Rail Society Silver Rail Society PLUS Student Sustaining Auto Renew Advocate Bronze Auto Renew Advocate Gold Auto Renew Advocate Silver Auto Renew Family Auto Renew Individual Auto Renew Senior Auto Renew Silver Rail Society Auto Renew Silver Rail Society PLUS Auto Renew Student Auto Renew Sustaining

Contact Information

First Name

Last Name

Country United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Islands Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Republic of Cook Island Costa Rica Cote Divoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Egypt El Salvador Equador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Federated States of Micronesia Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Macdonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia (Rep. of Fmr Yugoslav) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Metropolitan France Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S. Georgia and S. Sandwich Islands Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St Helena St Kitts and Nevis St Lucia St Pierre and Miquelon St Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands - British Virgin Islands - US Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe

Address 1

Address 2

Postal Code

City

State/Province Alabama Alaska American Samoa Arizona Arkansas Armed Forces Europe Armed Forces Pacific Armed Forces the Americas California Colorado Connecticut Delaware District of Columbia Fed. States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Is. Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Email Address

Phone Number

Type Landline Mobile Fax

Why I'm Joining To Advocate About Rail In My Area To Give Feedback On Your Passenger Experience Up-To-The-Minute News On Amtrak Recommended by Friends/Family Railroad Industry/Union Support Exclusive Amtrak Discount Bonus Amtrak Guest Rewards Points Rail Passengers' Webinar Series Other

Prefers Messaging By Email Yes, I prefer communication by email rather than by mail.

Payment

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Name On Card

Card Number

Card Type Visa MasterCard AmericanExpress Discover

Expiration Month 01 02 03 04 05 06 07 08 09 10 11 12

Expiration Year 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 2034 2035 2036 2037 2038 2039

CVV Code

Account Number

Routing Number

Name On Account

Account TypeCheckingSavings

Billing Address 1

Billing Address 2

Billing Postal Code

Billing City

Billing State Alabama Alaska American Samoa Arizona Arkansas Armed Forces Europe Armed Forces Pacific Armed Forces the Americas California Colorado Connecticut Delaware District of Columbia Fed. States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Is. Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming

Billing Country United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Indian Ocean Territory Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Islands Cocos (Keeling) Islands Colombia Comoros Congo Congo, Democratic Republic of Cook Island Costa Rica Cote Divoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Egypt El Salvador Equador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Federated States of Micronesia Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and Macdonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea, North Korea, South Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia (Rep. of Fmr Yugoslav) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Metropolitan France Mexico Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda S. Georgia and S. Sandwich Islands Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka St Helena St Kitts and Nevis St Lucia St Pierre and Miquelon St Vincent and the Grenadines Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Virgin Islands - British Virgin Islands - US Wallis and Futuna Islands Western Sahara Yemen Zaire Zambia Zimbabwe

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