WORCESTER
LOCOMOTIVE SOCIETY LIMITED
Registered
Office: 84 Hallow Road, Saint Johns, Worcester WR2 6RY
www.worcesterlocomotivesociety.co.uk
MEMBERSHIP
APPLICATION/RENEWAL (Renewal date ...........................)
I
wish to apply/renew my membership of the Worcester Locomotive Society Limited and agree to
be bound by the rules of the Society.
Usual
signature...........................................................................................
Full
Name:......................................................................................................................
(Block
Capitals)
Address:..........................................................................................................................
..................................................................................................Postcode............................
Tel.no............................................ Occupation:....................................................................
In
the case of an application/renewal by any person under the age of 18 years, the following
clause must be signed by the parent or guardian of the applicant before the application
will be considered:
"I,............................................................................................of....................................
......................................................................................................................................
being
the parent/guardian
of.................................................................................................
hereby
certify that I will be responsible for his/her observing and conforming with the Rules of
the Society from time to time in force until he/she attains the age of 18 years."
Classes
of Membership:-
Full
Membership |
£
10.00 |
Concession |
£ 7.00 |
Family
(all fill in above) |
£
12.50 |
I/We
require.....................................................................................class
of membership for
Twelve
months from.....................................................................20.....
I/We
also require ......................... Society badge(s) @ £3.00 each.
Total
enclosed £......................
Date............................................................................
(Cheques/P.O.'s
to be made payable to WORCESTER LOCOMOTIVE SOCIETY LIMITED)
Introduced
to The Worcester Locomotive Society by
.
For
RENEWAL my Membership Number is ..............
Please
send completed application with remittance and stamped addressed envelope to:
Membership Secretary, Worcester Locomotive Society Ltd., 158 Comer Road, St. Johns, Worcester WR2 5JD.