LVRS Membership Application Form

Membership Status *

New Member Renewal 20/21

Name *

First Name Middle Name Last Name

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

E-mail *

Contact Number *

Area Code Phone Number

Other Number

Area Code Phone Number

Date of birth *

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

Diesel Locomotive Crew Steam Locomotive Crew Train Guard Passenger Attendant

Facility Maintenance / Restoration

Diesel Steam Carriage Cowra Depot Orange Depot Track/Plant

My Products *

1 Year Ordinary Membership $ 44.00 AUD

1 Year Student Membership (under 18years) $ 22.00 AUD

1 year Senior / Aged Pension Membership $ 22.00 AUD

Total $ 0.00 AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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