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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 | |
| 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 UK FAMILY MEMBERSHIP Free (with 1 Bulletin) |
OVERSEAS SUBSCRIPTION RATES: |
| Please do not send cash through the post. Card No .............................................................. Cardholders 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 |
| PLEASE PRINT THE FORM &SEND WITH REMITTANCE AND A FIRST
CLASS LARGE LETTER STAMP to | |