PLEASE PRINT CLEARLY and return the completed form to any club officer or to the Honorary Secretary at the above address. PART A SURNAME _____________________________________ FORENAME(S)_____________________________________________ FULL ADDRESS ________________________________________________________________ _______________________ ___________________________________ POST CODE ________________________ TEL NO. _______________________ E-mail address______________________________________ ======================================================================================================= PART B HOW DID YOU FIND OUT ABOUT THE CLUB? __________________________________________________________________ _______________________________________________________________________________________________________ PLEASE LIST ANY OTHER MEMBERSHIPS OF RAILWAY INTEREST _________________________________________________ _______________________________________________________________________________________________________ YOUR OCCUPATION _______________________________________________________________________________________ TYPE OF LAYOUT OWNED __________________________________________________________________________________ HAVE YOU ANY SKILLS THAT MAY HELP THE CLUB? ___________________________________________________________ ======================================================================================================= PART C DECLARATION I seek membership of Worthing Model Railway Club as a SENIOR/STUDENT/ASSOCIATE member and agree to abide by the Rules and Constitution of the Club. I will pay a subscription plus joining fee of 50p if my application is approved the the Club Committee. I also agree to the above details being held on computer for WMRC use only. Signature _________________________________________ Date ______________________________________________ ======================================================================================================== PART D This application shall be supported by two members of the Clubs Committee. Proposed by ______________________________ Seconded by _________________________________________________ Date approved ______________________________________ Details logged __________________________________ ======================================================================================================== Yearly subscription: Senior £75, Student/UB40 £35, Associate/Junior £20, Senior Citizen £60. Subscriptions may be paid annually or 6 monthly by agreement with the treasurer. Cheques and postal orders should be CROSSED and made payable to WORTHING MODEL RAILWAY CLUB.