Special Interest Group Application SIG Information: SIG Name: ______________________________________________________________ SIG Purpose: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Newsletter Name: ______________________________________________________________ Frequency: ______________________________________________________________ Dues structure: ______________________________________________________________ SIG Coordinator Information: Name: ______________________________________________________________ NMRA member No: ______________________________________________________________ Address: ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ Telephone: ______________________________________________________________ e-mail (optional):_____________________________________________________________ Other comments (optional): ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________ ______________________________________________________________