MID-HANTS RAILWAY PRESERVATION SOCIETY

MEMBERSHIP APPLICATION FORM (via WEB-SITE)

To apply for Society membership or renew your membership, print and complete the attached form, then post it with your subscription payment or fax it (fax:01962-735448) with your credit card details.

Please make cheques/PostalOrders payable (in Sterling) to 'M.H.R.P.S. Ltd' and send to:
The Membership Director,  Mid-Hants Railway,The Railway Station, Alresford, Hampshire, England, SO24 9JG
Membership enquiries :  mhrps_membership@watercressline.co.uk

Society Membership Subscription Rates
New Member? Renewal?

MEMBERSHIP No: [ _ _ _ _ _ _ _ _  _ _ _ ] (if renewal)

Yearly

5 years

Life £(Amount)
    ----- Adult  (*Payable in 5 equal instalments)

£20.00

£90.00

£300.00*    
        Junior (under 16 as at 1st January this year)

£12.00

-

     
        Family (2A + 2C)

£28.00

£125.00

     
      Senior Citizen (over 65 as at 1st Jan in year of joining)

£14.00

£63.00

£150.00    
    -----    Joint Life (husband and wife) (*Payable in 5 equal instalments)

-

-

£445.00    
    -----   Joint Senior Citizen Life

-

-

£223.00°    
GIFT AID - I wish the Charity to treat all donations and membership subscriptions that I have made since 6th April 2000 and all donations and membership subscriptions I make thereafter as Gift Aid Donations Signed:
 
 
Date:
 
 

If joining between 1st July & 31st December you need only pay half the subscription amount to enrol for the rest of the year.
° N.B. There is an error in the earliest edition of our 2008 Timetable

I enclose a cheque payable to M.H.R.P.S.Ltd  
or  
Please debit my MASTERCARD/VISA/SWITCH:


[ __ __ __ __ ] [ __ __ __ __ ] [ __ __ __ __ ] [ __ __ __ __ ] expiry [ __ __ __ __ ] 3-digit Security Code [ __ __ __ ]
 
 
SWITCH: Issue Number [ __ __ ]


Signed: ____________________________________________   Date:__________________

Name,  with initials: ________________________________________________

Address: _____________________________________________________

___________________________________________________________________

Postcode: _______________   Daytime Tel. No. __________________________

 
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