Apply for Membership of The Corris Railway  

Section 1- Your Details

Name
(Mr/Mrs/Miss/Dr)
Address




 
Postcode.
D.O.B.
-- 19 (if under 18 or over 65 on 1st January)
Tel :
 
Fax :
E-mail :

Section 2 - Conditions Of Membership

Members agree :
1. To uphold the good name of the Society.
2. To accept decisions of the Annual General Meeting / Council / Management Committee duly made.
3. To use their best endeavours to further the aims of the Society.
4. To help preserve the amenities of the neighbourhood in which the Society is interested.
5. To respect the property of others.
6. If responsible, to indemnify the Society against claims for personal injury, of loss, or damage to property.


Section 3 - Membership Details

Please enrol me/us* as a : (Please select Membership required)

Full : Senior : Junior : Corporate : Life : Family : Member of the Society

Section 4 - Family Membership Details

(Date Of Birth only required if under 18 or over 65 on 1st January)

Surname : First Name(s) : Occupation : Date Of Birth : -- 19

Surname : First Name(s) : Occupation : Date Of Birth : -- 19

Surname : First Name(s) : Occupation : Date Of Birth : -- 19

Surname : First Name(s) : Occupation : Date Of Birth : -- 19

I agree to observe the conditions of Membership as laid out in Section 2, and accept the Society's Constitution.

SIGNATURE : DATE :

(If applying for Junior Membership Signature of Parent/Guardian)

Section 5 - Subscription Rates

Membership Type Annual Subscription
Full Member £15.00
Senior Member (2) £10.00
Junior Member (3) £10.00
Family Member (4) £30.00
Life Member £300.00 (single payment)
Corporate Member (5) Available upon application

(1) Please tick this box if you are a UK tax payer and wish the Corris Railway to reclaim the income tax paid on your subscription amount in the form of Gift Aid.

(2) Senior Membership: To qualify for Senior Membership the applicant must be over 65 years old on 1st January.

(3) Junior Membership: To qualify for Junior Membership the applicant must be under 18 years old on 1st January.

(4) This category of membership is available to all members of a family having the same permanent address.

(5) Please enclose full details of the organisation concerned, including names of officers, with copy of constitution if relevant.

General

a) Data Protection:

The Society is registered under the Data Protection Act. All Membership details are retained on computer and are used in connection with the business of the Society and not disclosed to ANY third party.

b) Overseas application requiring publications to be sent by air mail must add £5.00 to the annual subscription.

Section 6 - Payment

SUBSCRIPTION (See Section 5 for rates):  £
DONATION (General/Railway Development*): £
TOTAL REMITTANCE £

Please tick if you require :-

Standing Order form (All membership subscriptions are based on renewal on 1st January).

Please enter here any other comments that you wish to make and/or how you heard about the Society

Please print this form, fill it in and send it with a cheque made payable to the Corris Railway Society to :-

Andrew Rawlins
3 Bridge Terrace, Llanbadarn, Aberystwyth, Dyfed, SY23 3RD

OR

Fill in the requested details on the WEB Page and send them through by clicking the Submit button below. This will ensure that your details are registered with the Society immediately. However, membership cannot begin until payment has been made either to Andrew Rawlins or the Assistant/New Membership Secretary Richard Shipman 5 Caeheulog, Llanafan, Aberystwyth, Dyfed, SY23 4BB.

Copyright © Corris Railway Society
Revised: September, 2005.