
Membership Application
Please fill in all the fields below.
When completed use the "Send" button at the bottom of the form.
You will then be directed to the online payment page (using PayPal)
where
you may choose
from the following annual membership options :-
Adult £10
Couple £15
Family £20
5 Year (Single) £45
Life (Single) £250
Name:
Postal Address: -
Address1:
e.g 10, High
Street
Address2:
e.g. Little Village, Big Town
Address3:
e.g. Cambs
Postcode:e.g.
PE12 1AA
Telephone:
Mobile
Email address:
Can you volunteer help? Please tick any areas where you
may be able to assist:
Organising and fundraising
Track work
Track clearing team
Road show staff
Other (Please state briefly)
And in due course....... Level crossing keepers
Station staff
Train crew
Where did you hear about the Bramley Line?
Declaration:
I/we agree to abide by the Bramley Line Heritage Railway Trust's
constitution
(as may be amended from time to time), a copy of which can be obtained on
request
or downloaded from the Trust's website.
I am 16 years of age or above.
Please enter y
in the the box below to accept the above declaration
(Enter
y to accept the declaration)
When completed, click on the "Send" button below
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