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NORTH BRITISH RAILWAY STUDY GROUP

Membership application

Contact details

Please enter your details – items marked ‘*’ must be completed:

* Salutation:
* Forename/initials:
* Known as:
* Surname:

Please enter and confirm your email address which will be used to acknowledge your application.

* Email address:
* Confirm email address:

Are you are happy for us to retain your email address and to send you occasional emails with membership information if your application is successful?

* I agree(Select as appropriate)
* I do not agree(Select as appropriate)

Please enter your correspondence details.

* Address line 1:
Address line 2:
Address line 3:
* Posttown:
* Postcode:
* Country:
Landline phone number:
Mobile phone number:
My NBR interests are:

Do you agree to your address details and NBR interests being included in the Membership Contact List if your application is successful? The List is published periodically and allows members to identify others with similar NBR interests. It is sent only to members who agree to the inclusion of their details.

* I agree(Select as appropriate)
* I do not agree(Select as appropriate)