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 16)	Signature of Parent/Guardian required below
Telephone No
Email address
Any relevant skills ?

Please state whether membership application, donation or both:

Adult Membership	£16.00
Junior Membership (Under 16s)	£8.00
Optional Donation	£
Cheque/Postal Order	£

 

Name of Parent/Guardian for under 16s........................................

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., Signal Box Cottage, Whitrope, Hawick, Roxburghshire. TD9 9TY.

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