Membership Application Form

Adult Members

Title:

First Name:

Last Name:

Title:

First Name:

Last Name:

Junior Members

Date Of Birth:

First Name:

Last Name:

Date Of Birth:

First Name:

Last Name:

Contact Details

Address:

Phone Number:

Email Address:

City:

County:

Post Code:

Country:

Declaration

I/We wish to become member(s) of the Whitwell & Reepham Railway and agree to abide by its rules.

Your Full Name:

(Electronically Signed)

Date:

01/12/2008 15:56:39

Membership Fees

There are 4 types of membership:

Adult is for a single adult.

Joint is up to 2 adults at the same address.

Junior is for a child up to the ago of 16.

Family is up to 2 adults and 2 children at the same address.