Site Updated
30 January 2012
Page Updated
12 September 2010

Signalling Record Society

Application for Membership

Please complete the boxes as appropriate. Boxes marked with asterisks (***) must be completed.

Forename(s) ***
Family Name ***
House Number or Name ***
Street ***
District
Town or City ***
County or State
Post or Zip Code ***
Country
Occupation
Telephone Number
eMail Address ***

To encourage the exchange of information between members, we publish the names and addresses of new members in our journal "The Signalling Record". Please tick here if you do not wish us to do that and keep your details confidential instead.

I have read the rules of The Society and agree hereafter to abide by them (please tick to confirm) and I hereby apply for membership of the Signalling Record Society. I enclose £20.00 payable to the "Signalling Record Society".

Signature:……………………………………………    Date:……………………………………… 20………

Now, please print two copies and send one to the Membership Secretary (below) with your payment, and keep the other copy for your records.

Mr Barry Bridges, SRS Membership Secretary, 38 Founceley Avenue,
Dane End, WARE, Hertfordshire   SG12 0NQ

Note: Data Protection Act 1984: The Society gives notice that for record purposes and for the preparation of membership lists, membership records are held on computer.