FAIRBOURNE RAILWAY PRESERVATION SOCIETY
Application Form for New & Members Renewals
Type of Membership:
New Membership
Renewal
Adult £26
Between ages 21-60
Associate £18
Between ages 21-60 Living at the same address as main member
Senior £18
60+
Junior £13
16-21
Family £50
2 Aduts and up to 3 children
Life Member £395
Lifetime Subscription
Dog £5
Applicants Details
Title of Applicant
Name of Applicant
Main Member
First line of address
Second line of address
Town
County
Post Code
Email
example@example.com
Phone
Date of Birth (If under 18)
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
Date
Associates Name
1st Child's Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
2nd Child's Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
3rd Child's Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Payment Method
Bank Transfer (preferred Method as no bank charges are incurred)
Bank payment reference please include the applicants surname
PayPal
Debit/Credit Card
Voluntarily Donation to Railway (Please Gift Aid if You Are Able) £
Total Amount Paid £
Volunteering
Are you interested in, or able to volunteer?
If so, which aspects appeal?
Do you have any skills that may assist the Railway?
I understand and agree that the data I have provided in this form will be stored on a computer and used for communications with me or my family (if this is a family membership) regarding the Fairbourne Railway or the Fairbourne Railway Preservation Society for the duration of this membership. The data will not be shared with any third party. When this membership is no longer valid, the data will be deleted.
Official use only
I/ We agree that the new member will be bound by the Rules of the Society:
date:
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Preview PDF
Submit
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