Membership application form

PLEASE PRINT

Name …………………………………………………………………………………….

Address ………………………………………….…………………………….…………

………………………………………………….………………………………………..

Post Code …………………........... Telephone ……………………………………..

Email ……………………………………………………………………………………..

Date of birth ……………………………

Signature

(Junior members need a parent or guardian to sign)

I apply for ………………………             (type of membership - see Membership Page).
I enclose a cheque/P.O. for £…………...       (Additional donations are always welcome).
I may be able to help by (see list on Membership Page):

………………………………………………………………………………………………
………………………………………………………………………………………………
………………………………………………………………………………………………
Receipts and membership cards will be sent out with the next mailing of our journal Trolleybus unless you enclose an sae with your payment.

Please Print off and send this form with payment to:
The Secretary, British Trolleybus Society,
2 Josephine Court, Southcote Road,
Reading RD30 2DG

Ref: Int 1