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:....................................................................
Email
address.........................................……….....................................................................
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 |
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) @ £5.00 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.
Seven,
Stoke Gardens, Severn Stoke, Worcestershire WR8 9JW