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Membership Form

First Name: Surname:
Address:


Post Code:
Email Address: (Required for Bronze Members)
Home Phone No: (Optional)
Mobile Phone No: (Optional)
 
Membership Rates are now split into three bands:
Bronze: electronic delivery of the Groups magazine
Silver: paper copy of the Groups magazine
Gold: Silver level plus an Exclusive Gold membership level C37LG Sweatshirt
 
Type 1 Year 5 Years
  Bronze Silver Gold Bronze Silver Gold
Adult
Junior
Family (2 Adults + 2 Juniors)
Please send me details for 'Buy Your Own Tractor'
 
I would like to become a member of The Class 37 Locomotive Group and enclose a cheque/PO for the sum of £ 15.00
Inclusive of a donation of £   (optional) made payable to The Class 37 Locomotive Group.
 
The C37LG is a registered charity, 1137787, and as such, we can claim gift aid on donations and subscriptions at no cost to you.



 

Pay On line Via    or Print the form and send it with your cheque

 
Signed:   Date:
 
Please send this form to:
Membership Secretary
Class 37 Locomotive Group
Mole End
Whatfield Road
Naughton
Ipswich
Suffolk
IP7 7BS
Gift Aid declaration. Please note: You should pay enough income or capital gains tax in any one tax year to cover the amount reclaimed by C37LG on your giving.
 
DATA PROTECTION ACT
As part of the Data Protection Act, Please be advised that some of the information given on this form will be held on computer file. The information is for group purposes ONLY and no details will be given to any third parties.