Corris Railway Society - Membership Renewal

Your name:
* Your email address:
* Confirm email address:
* Subject:
Membership Number
Address
Post Code
Country   If not UNITED KINGDOM then an extra £5.00 is required to cover postage of newsletters etc..
Membership type: FULL Membership (£15.00)  
JUNIOR/SENIOR Membership (£10.00) If under 18 or over 65 on 1st January next
FAMILY Membership (£30.00) All residing at the same address
LIFE Membership (£300.00)  
I wish to make a donation to the Corris Railway Society General funds £
Carriage Shed Appeal Fund £
F.O.C.R.M.
(Friends of the Corris Railway Museum)
£
Tattoo Steam Locomotive Fund £
Falcon Steam Locomotive Fund £
Southern Extension Fund £
I would like you to treat all payments and donations for Gift Aid

(Please tick) 

  Gift Aid Declaration: "I am a UK taxpayer and wish The Corris Railway Society to treat all donations I have made in the last four years and all future gifts of money that I make from the date of this declaration as Gift Aid donations, until I notify you otherwise".
This declaration will be effective having captured the IP address of the person submitting the form.
I do NOT want to receive Raffle Tickets to sell on behalf of the Society

(Please tick)  

  Please tick this box if you DO NOT wish to receive raffle tickets.
 

* Please enter here information on any skills that you have that may be useful to the Society or you may enter a  message if you wish:

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