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LCGB ENROLMENT FORM 2017

Subscription for 2017: 19.50

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


Personal Subscriptions will be effective from 1st January and July/October, 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.

UK ANNUAL SUBSCRIPTION
New First Time Members may pay by Credit Card

Joining 1st Jan - 31st Jun £19.50
Jul 1st - 30 Sep £10
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)

HOW TO PAY
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
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.

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)

FAMILY MEMBERSHIP SECOND PERSON

SURNAME


.....................................................................
FORENAMES


...................................................................

AGE (if under 18) ........ Applicants must be over 14



SIGNED ...........................................................................

Bank Transfer is also available (remember to identify yourself)
Clydesdale Bank Victoria Branch Sort Code 82-13-03 Account Number 20346642.
PLEASE PRINT THE FORM & SEND WITH REMITTANCE to
Mr T. Rolland, 4a Northbrook Road, Ilford. Essex. IG1 3BS