I/We wish to apply for membership of the South Tynedale Railway Preservation Society in accordance with the Society’s Memorandum and Articles of Association.

Full Name (BLOCK CAPITALS please)

Title: Mr/Mrs/Ms/Miss/Other (please state) ____________

Surname: ________________________________________________________

First name(s): _____________________________________________________

Signature: (if over 18 years) _________________________ Date: ___________

Occupation: _______________________________________________________

Address: _________________________________________________________

_________________________________________________________________

Postcode: ___________________  Tel. No: _______________________

E-mail address: ___________________________________________________

Full Name and date of birth of Junior Associates (under 18 years)

Name: _____________________________   Date of Birth: ___________

Subscription Rates (complete as appropriate)

   @ full rate £15                                          £_____________
   @ reduced rate* £10                                 £_____________
   Junior Associate (under 18 years) £10       £_____________
   Optional donation of                                  £_____________
   Society badge/brooch @ £3                       £_____________

                                      Total Enclosed        £_____________

Cheques/postal orders should be made payable to South Tynedale RPS.

*Reduced rate applies to any member (aged 18 or over) at the same address as a member paying the full rate, and to all members aged 60 or over.

I am interested in becoming actively involved in the Society’s work:-    Yes / No

Gift Aid Donations

If you are a UK tax payer, please sign below to make your subscription worth much more to the Society.

I declare that all donations and subscriptions I make from this date of declaration are to be treated as Gift Aid Donations.

Signature: _______________________     Date: _______________

Please remember to inform us if no longer pay enough tax to cover the money we claim back from the H.M. Revenue and Customs (currently 28p for each £1 you give).

Please return the completed form with your payment to:-
Mrs. K. A. Aveyard, STRPS Membership Secretary, 106 Commonside, Roberttown, LIVERSEDGE, West Yorkshire, WF15 7LW.

THE SOUTH TYNEDALE RAILWAY PRESERVATION SOCIETY,
Registered Office Address:-
The Railway Station, Alston, Cumbria, CA9 3JB.
Telephone 01434 381696.
Talking timetable - Telephone 01434 382828.
Registered Charity No. 514939.
Limited by Guarantee: Company Registration No. 1850832 (England).