You can also download a .pdf version of this form.
All completed forms must be sent with a cheque to the Membership Secretary at:
M.R. Society Membership Secretary, Alan Cox, 35 Royston Drive, Belper, Derbyshire. DE56 0EL
If you have any membership queries then the Membership Secretary, Alan Cox, can be contacted through email to email@example.com.
The Chairman of the Society, David Hunt, is also available to discuss the Society generally via email to firstname.lastname@example.org.
|Date of birth:||________________________________________|
|Where did you here of us?:||________________________________________|
My interests in the Midland are (please tick):
Geographical Areas (please specify):
If a modeller, please specify scale:
Your personal details will be recorded on a database for the sole use of the Midland Railway Society.
I AGREE to my name, address and interests being made available to other members of the Society so that people with like interests can contact one another. Other personal details will be made available to trustees in order to facilitate the running of the Society.
Payment of the year’s subscription is enclosed. (Cheques payable to “The Midland Railway Society”)
The membership rates (starting from Jan 1st 2017) cover the period January to December and are: