Bassetlaw (North Notts) Railway Society
Membership Application Form
 
Title: ..........     ..........
Christian Name(s): ............................................... ...............................................
Known As: ............................................... ...............................................
Surname: ............................................... ...............................................
Address: ............................................... ...............................................
............................................... ...............................................
............................................... ...............................................
Postcode: ............................................... ...............................................
Date of Birth (if under 18):   ............................ ............................
Telephone No: ............................................... ...............................................
Mobile No: ............................................... ...............................................
Fax No: ............................................... ...............................................
Email Address: ............................................... ...............................................
 
Do You Own a Model Railway?  YES / NO

If Yes, what Scale  ..............................................
Specific Railway Interests ........................................................................................................
........................................................................................................
 
Please select number and type of membership(s) required,  Adult .......... Concession ..........
Annual Subscription Rates: Adults:

 £25.00
Concession:

£15.00 

(Under 16 or Over 60)

25% discount for Joint Membership

Please make cheque payable to: The Bassetlaw (North Notts) Railway Society
 

 Please send completed form, and payment to: 

 The B(NN)RS Membership Secretary
Mr Stan Balmer
31 North Road, Retford
Nottinghamshire, DN22 7YR
Any details that you provide to us will be held on the B(NN)RS electronic database subject to the provisions of the
 DATA PROTECTION ACT.  The society will not disclose this information to third party organisations without your prior written permission.  If you do not wish your details to be stored on our database, please inform the membership secretary in writing.