Please complete in block capitals.
Title : (Mr./Mrs./Miss/Dr. etc.) ......
Names : (in full) ..........................................
Address : ..................................................
..................................................
..................................................
Postcode : ..................
E-mail : ...................................................
Telephone Number (including code) : ........................
Mobile Number : ............................................
Type of membership : (please tick)
Ordinary member : £15.00 one year ...
£35.00 for THREE years ...
Senior Citizen : £10.00 one year ...
(over 65) £25.00 for THREE years ...
(only 2 additional Family Members)
Junior Member : £10.00 one year ...
(under 18) £25.00 for THREE years ...
Student Member: £10.00 one year ...
(in full-time £25.00 for THREE years ...
education)
Life Membership : £250 ...
Additional Family-Members : £5.00 EACH one year
(living at the same address) £10.00 EACH for THREE years
(FULL names please)
1. ................................................
2. ................................................
3. ................................................
4. ................................................
ANNUAL Overseas Supplement : £4.00 Europe
(all categories bar life) £7.00 Rest of World
Total amount payable : ............
Signature : .......................
Extra information :
Please send ... Application Forms for children to join
the 'Embsay Tank Engine Club'
Please send ... Membership Application Forms for 'Embsay
& Bolton Abbey Steam Railway'
Please tick ... if you would like to be sent information on
how you may help the railway by doing some voluntary work.
Print out and send this application form along with a Cheque or Postal Order for the correct amount (payable to 'Embsay & Bolton Abbey Steam Railway' ) to: