WAVERLEY ROUTE HERITAGE ASSOCIATION

MEMBERSHIP APPLICATION & DONATION FORM

Please complete this form using the "tab" key to move down

Full Name	MrMrsMissMsMaster
Address (Line 1)
Address (Line 2)
Address (Line 3)
Postcode
Age (if under 18)	Signature of Parent/Guardian required below
Telephone No
Email address
Any relevant skills ?

Please state whether membership application, donation or both:

Adult Membership (18 to 60 years)	£20.00
Senior (60 & over) & Junior Membership (Under 18s)	£16.00
Family Membership (2+2)	£35.00
Optional Donation	£
Cheque/Postal Order	£

 

Name of Parent/Guardian for under 18s........................................

Signature of Parent/Guardian ...................................................

Please make cheques payable to 'WAVERLEY ROUTE HERITAGE ASSOCIATION'

I may be interested in the following (tick):

Voluntary work -  permanent way, maintenance, planning, research etc
Representing WRHA at various events

Please print out & send this completed form, enclosing payment, to:

Membership Secretary, W.R.H.A., The Coach House Sunnyside Denholm Roxburghshire TD9 8NA

Personal details will be held for WRHA internal use only, in compliance with the Data Protection Act 1998.