MEMBERSHIP FORM

Please print this form and return to the Membership Secretary, Manx Electric Railway Society, PO Box 117, Douglas, Isle of Man, IM99 1JS with remittance or completed Banker's Order

I wish to become a member of the Manx Electric Railway Society and I apply for membership.

NAME ...........................................................................................................................................................................................

ADDRESS ...................................................................................................................................................................................

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Email address .............................................................................................................................................................................

SUBSCRIPTIONS ARE DUE ON APRIL 1 EACH YEAR
Ordinary Membership £8 per annum (Isle of Man & UK) £10 per annum (Eire & Rest of the World)

BANKER'S ORDER

To: The Manager............................................................................................................................................................. Bank

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

Please pay to the ISLE OF MAN BANK, Parliament St Branch, Ramsey, Isle of Man, Sort Code 55-91-10
for the account of the Manx Electric Railway Society, Account Number 18162630 the sum of

£ ........................... ( ........................................................................................................................ In Words)

NOW and on the first day of April next and every succeeding 1st April until countermanded by me in writing.

NAME .................................................................................. ACCOUNT TITLE .....................................................................

ACCOUNT NUMBER ....................................................... BANK SORT CODE .................................................................

HOME ADDRESS ......................................................................................................................................................................

DATE .................................................................................... SIGNED ......................................................................................

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