Membership Form


Wab794 and Carriages Cartoon


Register your support by becoming a member of the Society. Below is a copy of the subscription form that can be printed out and all details entered, then post it to us with a cheque for the correct amount.

Membership runs from 1st July until 30th June the year after.

Use your Mouse or TAB key to fill the form out.
First Name
Last Name
Street Address
Suburb
City
Post code
Phone No. ()
Cell Phone No. ()
Occupation
E-Mail Address
Receive Newsletter by email

Yes No

Type of Membership please (Click one)
Ordinary Member $30

Family Member $40
(2 Adults & 2 Children)
Junior Member $15
(under 18)
Age group (Click one)
Under 25
25 - 49
50+
Comments


Payment Details
Payment was made by:

Cash Bank deposit

Bank Deposit details
Account Name:FDSR
Account Number:03-0626-0659376-000
Please use your First name & surname as a reference and return this completed form.


Print this form and post to:

Feilding & District Steam Rail Society Inc
P O Box 197
Feilding

E-mail us at: secretary@steamrail.org.nz

Date:

F163 and Carriages Cartoon