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