MEMBERSHIP APPLICATION FORM

(Please complete using Block capitals)

Please print out and complete this form before returning to the Asst. Treasurer-New Members:

Mrs. Vron Cooke, 23 Haig Drive, Slough, SL1 9HA

PLEASE DO NOT USE THIS FORM FOR MEMBERSHIP RENEWALS

Surname ........................................................................ Title (Mr/Mrs/Ms)..........................

Forename(s).......................................................................................................................

Address.............................................................................................................................

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..............................................................................Postcode..............................................

Email address........................................Age group, please tick: under 25, 26-35, 36-45, 46-65, 66+

I wish to apply for membership of The Railway Correspondence and Travel Society.

Membership rates for 2009 are indicated below. Please indicate as appropriate:

Please note that applications for one and three years membership received during October, November and December will be valid through to December of the following year. (15 and 39 months membership).

Overseas subscribers receive the RO by airmail and the subscription rate for those living in the Europe postal zone is £30.00 and for the rest of the world £35.00. Overseas applicants may pay by Sterling cheque drawn on a UK clearing bank, by Sterling draft or by credit card. For credit card payment please complete the details below.

I hereby agree to abide by the rules of the Society (click here to view rules) and agree that any visit made by me with the Society to the premises of any railway or any other authority or company shall be entirely at my own risk and responsibility. I further agree to absolve the Society and the railway or any other authority or company whose premises I visit with the Society from any responsibility for my safety or the safety of any article I may have with me. The Society declares that membership records held on the Society's computers are used only for administration purposes by authorised Society officers.

I enclose a remittance (*cheque/postal order/sterling draft) payable to The Railway Correspondence & Travel Society in payment for the subscription and magazine fee of *£22.00, £61.00 or £11.00 in respect of this application, please delete whichever is not appropriate).

Alternatively, for 12 months/36 months, please debit my *Visa/Mastercard for £___:___ ( * delete as appropriate)

Card number............................................................. Expiry date: ___/___ 3 digit Security Code.............

Name (exactly as it appears on card).................................................................

Signed..............................................................

Date ............................ Date of birth (if under 18 years) ..................................

Have you been a member before? - *yes/no ( * delete as appropriate) Previous Membership No..............if known.

The section below is for Society use only.