Membership Application Form
Name: Address: Post Code:
Email Address:	(Required for On-Line members area)
Home Phone No:	(Optional)
Mobile Phone No:	(Optional)
Membership Fees:	Please tick as appropriate
Adult (16yrs or Older)	1 Year £15.00   5 Years £60.00
Junior	1 year £10.00   5 Years £40.00
Family (2 Adults & 2 Juniors)	1 Year £40.00   5 Years £160.00
I/We would like to become members of The Class 37 Locomotive Group and enclose a cheque/PO for the sum of £........ made payable to The Class 37 Locomotive Group. Inclusive of a donation of £........ (optional) made payable to The Class 37 Locomotive Group.
Signed:	Date:
Please send this form to: Membership Secretary Class 37 Locomotive Group 60 Babylon Lane Anderton Nr Chorley Lancs PR6 9NW	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.