WORCESTER LOCOMOTIVE SOCIETY LIMITED

Registered Office: 84 Hallow Road, Saint Johns, Worcester WR2 6RY

Registered No. 1188105. H.R.A. Member

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) @ £3.50 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.