urie locomotive society
Membership Form

We have five classes of membership plus a life membership option, with the following membership rates:

Ordinary

£10

Annually

Junior (under 16)

£6

Annually

Senior (over 65)

£6

Annually

Joint (husband&wife)

£15

Annually

Joint senior (over 65)

£10

Annually

Life

£100

One payment


I should like to apply to join the society in the following class of membership (please tick), and agree to abide by the rules of the society:

Ordinary

 

Junior

 

Senior

 

Joint

 

Joint senior

 

Life

 


I enclose the first year membership fee of

£

Plus a donation to the restoration fund of

£


Name

Address

 

 

 

Post code


Tel no.

E-mail


Signed

 

Date

Print this page and send to Fred Rogers at 4 Harefield Court, Romsey, Hampshire  SO51 7NN. UK

Please make cheques payable to the Urie Locomotive Society Limited