Register a relative as a member of the National Registry of African-American Railway Workers

DESCENDANT GENERAL INFORMATION
Name:
Address:
City:
State:	SELECT A STATE... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip Code:
Phone:
Email:

 

YOUR RELATIVE'S GENERAL INFORMATION
Name:
Address:
City:
State:	SELECT A STATE... Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip Code:
Phone:
Email:

 

OTHER INFORMATION
What Railroad do/did you work for?
What position did you hold?
What were your years of service?
Did you hire on the railroad before 1971?	Yes No
Are you currently a railroad employee?	Yes No
Please give us your comments about your experiences working on the railroad.
How did you find out about the museum?
May historical researchers contact you for more information about your work on the railroad? Yes No

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