Membership Application Form

To: The Membership Secretary, Isle of Wight Railway Co. Ltd.,
The Railway Station, Havenstreet, Ryde, Isle of Wight. PO33 4DS
I wish to become a Member of the Isle of Wight Railway Company Limited and hereby agree, if elected, to become a Member of the said Company, subject to the memorandum and Articles of the Company.





    
Name:                D.O.B.: 
Address:            
                    
                    
                    
Postcode:            Country: 
Type of membership: 
2nd Adult's name:    D.O.B.: 
Children's names:    D.O.B.: 
                     D.O.B.: 
                     D.O.B.: 
                     D.O.B.: 


Signed:             ____________________________________________


    
(please don't forget to sign here, even if you're not paying by credit card!)


    
Please enclose a cheque or postal order
    made payable to The Isle of Wight Railway Co. Ltd., 

    or fill out your credit card details below:

    
  
Please debit my      card, 
Number:                  Issue Number : (if applicable)
Start Date:     Expiry Date:   
Security Number :    please enter the last 3-digits (security number) found on the reverse of your card on the signature strip.






(Security: As this form won't be submitted online, you don't 
  have to worry about Internet security, but if you prefer, you may leave the 
  credit card details blank, and write them in on the printed form)



Please print out this form, sign it, and either post it to: 

The Membership Secretary, Isle of Wight Railway Co. Ltd., 

The Railway Station, Havenstreet, Ryde, Isle of Wight. PO33 4DS

or fax it to: 01983 884515



Notes: Under the articles of the company, each
Adult Member is liable to contribute a maximum of £5.00 in the
event of its being wound up. All membership records are stored
and processed on a computer based data retrieval system, the
information being used only by the railway, except as required
under the Companies Act.