APPLICATION FOR MEMBERSHIP
PLEASE USE BLOCK CAPITALS TO FILL IN THIS FORM, thank you!
Name
(1)
(2)
Address:
Postcode Tel:
E-mail address
I/we support the campaign to improve the Ashford to Hastings rail link and apply to become a member/s of “MLAG”
I/we enclose the sum of (please tick the appropriate box and fill in any additional donation amount, followed by the total amount):
Payment:
Annual membership fee (from 1 January 2016)
Member (1) £ 2.00
Member (2) £ 2.00 (delete if not appropriate)
Donation £
Total _____
Signature Date
To update our membership records we would like to enter the details you have given above on to a computer. We will not release this information to anyone outside MLAG. If you object to this information about you being held on computer, please tick here
When completed, please return, together with your remittance (£2 minimum, with cheques made payable to “MLAG”) to:
Mr David Bookless
MLAG Membership Secretary
3 Faraday House
RYE
East Sussex TN31 7EW