To Mr J E Stanley (Membership Secretary, CLPG), 4 Sandford Rise, Charlbury, Oxon. OX7 3SZ

MEMBERSHIP APPLICATION.

Please enrol me/us as a member of the Cotswold Line Promotion Group. I enclose remittance for £.................... for Individual/Senior/Family/Life membership (delete as appropriate).   Voluntary donations gratefully accepted. 
A joint application for 2 Senior memberships in the same family will be treated as a Family membership and the Family rate applies.

Current minimum membership rates are shown on Membership page

Cheques should be made payable to the Cotswold Line Promotion Group.

Membership (other than Life) will run to 31st August 2012.

Name.........................................................................................

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

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

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

...............................................Post Code......................................

Telephone No............................................................

E Mail Address.......................................................................................................................................

Membership records are held on a computer. Members' details will NOT be made available to any other organisation.