LCGB Enrolment Form

LCGB ENROLMENT FORM 2012

I/We the undersigned apply to join
The LOCOMOTIVE CLUB OF GREAT BRITAIN

as a Full/Family member and enclose my/our subscription.

I/We agree to abide by the rules of The Locomotive Club of Great Britain (hereinafter called The Club) and the decisions of its officers. I/We also agree that any visit, event or tour organised by The Club in which I/we take part will be entirely at my/our own risk and responsibility. Under no circumstances shall The Club, its officers, or the organisers/leaders of a visit, event, or tour be liable for any accident, incident or misfortune which may befall a participant. I/We accept that the information shown on this Enrolment Form may be held by The Club, on a computer, under the terms of the Data Protection Act.

PLEASE COMPLETE USING BLOCK CAPITALS THROUGHOUT & SHOW YOUR TITLE AS MR, MRS, MISS, MS, ETC.

SURNAME	TITLE FORENAMES
TELEPHONE NUMBER	E-MAIL
ADDRESS with Post Code
Date SIGNED	Date of Birth

Subscriptions will be effective from 1st January/July, and backnumbers of the Bulletin supplied if available. Persons residing outside the British Isles are very welcome and copies of the “Bulletin” can be sent by surface or air mail to any address in the world.	Family membership is available for two members sharing the same address, such as husband and wife, or parent and juvenile. Only one copy of the Bulletin will be supplied. Full details must be given for both applicants and both must sign the Form.
UK ANNUAL SUBSCRIPTION New First Time Members may pay by Credit Card Joining 1st Jan - 31st Mar £19.50 Apl 1st - Jun 30th £15 Jul 1st - 30 Sep £12 Oct 1 - Dec 31 £19.50 All renewal dates are 31st Dec (15 months if you join after Oct 1) UK FAMILY MEMBERSHIP Free (with 1 Bulletin)	OVERSEAS SUBSCRIPTION RATES: New First Time Members may pay by Credit Card. Europe £32.00 Air Mail: All other countries £38.00 OVERSEAS FAMILY MEMBERSHIP Free (with 1 Bulletin)
Please do not send cash through the post. AMOUNT £................. I enclose a crossed cheque/postal order made payable to Locomotive Club of Great Britain. Debit my Visa/Master Card/Eurocard with the above sum Card No .............................................................. Cardholder’s name & initials as shown on the card ............................................................................. Card Dates Start................ Expiry ................ Three Digit Security No (on back of card) ............	FAMILY MEMBERSHIP SECOND PERSON SURNAME ..................................................................... FORENAMES ................................................................... AGE (if under 18) ........ Applicants must be over 14 SIGNED ...........................................................................
PLEASE PRINT THE FORM &SEND WITH REMITTANCE AND A FIRST CLASS LARGE LETTER STAMP to Mr T. Rolland, 4a Northbrook Road, Ilford. Essex. IG1 3BS