LVRS Membership Application Form

Membership Application Form

Online membership application form
Membership Status*

New MemberRenewal 2023/24
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Contact Number*

Area CodePhone Number
Other Number

Area CodePhone Number
Date of birth*

DayMonthYear
Date
Get Involved!

Please indicate what area you would like to get involved in. You may have already been involved for years but see something new to the list you haven’t considered before!
Operations

Safeworking CrewPassenger Attendant
Facility Maintenance / Restoration

DieselSteamCarriageCowra DepotOrange DepotTrack/Plant

My Products*

Renewal-Required

1 Year Ordinary Membership$55.00AUD

1 Year Student Membership (under 18years)$27.50AUD

1 year Senior / Aged Pension Membership$27.50AUD

Donation- Optional

Donation$1.00AUD

Quantity
Item subtotal:$0.00AUD

Total $0.00AUD

Please verify *
The Co-operative Act requires the LVR to make known that all members may view at the registered office a copy of the rules together with all special resolutions applicable under the Act and a copy of the last annual report of the society.

The submission of the application does not constitute an automatic right of approval of membership and the Lachlan Valley Railway Society Cooperative Limited reserves the right to refuse membership to any person and need not assign any reason for such refusal as allowed under the Co-operative Act.
Lachlan Valley Railway Society
Email: office@lvr.com.au
Fax: (02) 6341 3599
P.O. Box 279 Cowra NSW 2794
ABN 33 678 338 351
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