SVR Charitable Trust Membership Application Form
Name
*
First Name
Last Name
Type of membership
*
Please Select
Chairman of SVR(H) of SVR(G)
Accredited representative of HRA or NRM
Member or Group supporting the SVR
Individual Rolling Stock member admitted to SVR(H) or SVR(G)
Representative of a Rolling Stock Group or Fund admitted to the Company
Honorary Member
SVR Branch Details
Group supporting the SVR details
Name of Rolling Stock Group (where applicable)
Organisation/Fund (if applicable)
SVR Location
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Payment
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SVRCT Membership
SVRCT Membership - 1 year
£
10.00
Quantity
1
2
3
4
5
6
7
8
9
10
Debit / Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiry
Submit
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