To: The Membership Secretary
North British Locomotive Society Ltd.,
Registered Office
Buckinghamshire Railway Centre
Quainton Railway Station, Quainton
Aylesbury. Bucks
HP22 4BY

Title (Dr./Mr./Mrs./Ms./etc., ..............................

Surname .......................................................................

Christain/Fornames .... ....................................

Address ...................................................................................................

...................................................................................................................

...................................................................................................................

Postcode / Zip Code ........................

Country .....................................................................


Subscriptions: U. K. Membership £10.00 or £15.00 (joint), .........       ...£    .00p
under 16 and Senior Citizens £5.00
Plus minimum purchase of 1 share at £5.00p.....number .requested. ..      £    .00p

.......                                                                                              Total:

Please make your cheque in favour of: The North British Locomotive Society Ltd and send it to The Membership Secretary at the above address.