Membership Renewal

Please fill in all the fields below.
When completed use the "Send" button at the bottom of the form.
You will then be directed to the online payment page (using PayPal)
where you may choose from the following options :-

Adult       12

Couple   18

Family    24

Individual Life Membership ONLY for the over 55's 250

Individual Life Membership ONLY for the over 65's 150
Corporate Membership 100

Name:  

Membership Number: 
 

Postal Address: -

          Address1: e.g 10, High Street

                      Address2: e.g. Little Village, Big Town

Address3: e.g. Cambs

Postcode:e.g. PE12 1AA

 

Telephone:     Mobile   

Email address:
 

Declaration: 
I/we agree to abide by the Bramley Line Heritage Railway Trust's constitution
(as may be amended from time to time), a copy of which can be obtained on request
or downloaded from the Trust's website.
I am 16 years of age or above.

Please enter y in the the box below  to accept the above declaration 
(Enter y to accept the declaration)

When completed, click on the "Send" button below