Signalling Record Society

APPLICATION FOR MEMBERSHIP

Name:

Address:




 

Phone:

Email:

Occupation (completion optional):

How did you hear about the SRS?:

I hereby apply for membership of the Signalling Record Society. I enclose payment of £17.50 (correct for 2007).

I agree hereafter to abide by the Rules of the Society.

Signature:     ………………………………………

Date:        ………………..

I would prefer to pay by Standing Order. (Please delete if not applicable)

To encourage the exchange of information between members, we publish the names and addresses of new members in our journal “The Signalling Record”. If you wish to give a brief description of your interests or any research you are engaged in, please give details overleaf.

Should you not wish to have your name and address published, please state this instead.

Please return this form to:

Mr Barry Bridges
SRS Membership Secretary
38 Founceley Avenue
Dane End
WARE
Herts.
SG12 0NQ

Note: Data Protection Act 1984: The Society gives notice that for record purposes and for the preparation of membership lists, membership records are held on computer.