| Membership
Application Form |
Please
print and complete this form,
then
make your cheque (or postal order) payable to
"Wrexham - Birkenhead Rail
Users' Association"
and send them to
WBRUA Membership Secretary
56 Coombe Road
Irby
Wirral CH61 4US
United Kingdom |
| Name(s): |
|
| Address |
|
|
|
Postcode
_ _ _ _ _ _ _ |
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Do you want large print WBRUA literature? yes/no:
|
| Type of subscription: |
(tick) |
| Individual membership |
£4 |
|
| Family membership |
£6 |
|
| Corporate membership |
£10 |
|
|
| Additional Donation:
(optional) |
£ |
|
