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______________________________________
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                                              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? ___________________________________________________________
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                                              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 ______________________________________________
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                                              PART D
This application shall be supported by two members of the Clubs Committee.

Proposed by ______________________________ Seconded by _________________________________________________

Date approved ______________________________________  Details logged  __________________________________
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     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.