Canberra Railway Museum Membership Renewal Form

www.canberrarail.org.au

2 Geijera Place,

Kingston ACT 2604

Mail to PO Box 445, Fyshwick ACT

I wish to renew my membership of:

Capital Region Heritage Rail Limited (ABN 99 625 904 663) and ACT Heritage Rail Holdings Limited (ABN 91 625 924 627)

Support the objectives of the companies; and Be bound by the Constitution and By-laws of the companies; and Abide by the Code of Conduct of the Museum
Membership Number (if known)
Surname Family Name
Preferred Name
Email address for notices and newsletters
example@example.com
PLEASE UPDATE IF CHANGED
Home Address
Postcode
(Mobile)
The Canberra Railway Museum respects the privacy of the individuals it deals with and complies with the Privacy Act 1988. Consistent with this, we will not disclose our members personal information to third parties except to facilitate the provision of services to those members or as otherwise required by law but may provide such information to our operational people to facilitate the management and operations of the Museum, or to other agencies as required for accreditation, insurance, or other
Membership Classes and Rates for Renewing members (GST inclusive, where applicable)

Membership Year: to 30 June 2025

Please tick applicable membership class:
Adult (voting) $60Adult (voting) 3 years $160Adult Concessional Rate (voting) $30.00Adult Concessional Rate (voting) 3 years $80.00Junior (non voting) (Applies to persons under 18 years of age) $25.00Junior (non voting) (Applies to persons under 18 years of age) 3 years $65.00Corporate Member - (non voting) $60.00Corporate Member - (non voting) 3 years $160.00Donation to Capital Region Heritage RailDonation to the 3016 Restoration Fund
Amount Donated to Capital Region Heritage Rail Ltd
Amount Donated to 3016 Fund
Total Amount Payable
Processing Instructions

1. Complete and update (if necessary) your personal details.

2. Complete membership class details and calculate amount. Please consider donating.

3. Choose the payment method and make payment if applicable.

4. Either post or email completed form to membership officer as shown below.

Please mail completed form, or Email all pages of the form to: membership@canberrarail.org.au

Cash/Card - In person at Museum workdays / meetings - Payments Accepted on Thursday Mornings and Sundays (Note: Do not send cash via the mail)

Direct Credit to Capital Region Heritage Rail Limited Bank account at Westpac Bank:

BSB: 032747

Account No: 272895

Please show Surname and / or Membership number in Reference panel.
In Person at MuseumDirect Credit
Signature

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