I wish to join the Westport Railway Preservation Society and enclose my remittance |
of $___________ being the subscription for the current financial year. |
Name: | ________________________________________________ |
Address: | ________________________________________________ |
________________________________________________ |
________________________________________________ |
Phone: | (_____)___________________________ |
Occupation: | ________________________________________________ |
|
Subscription Rates: | | | |
Adult........ | $15 | $__________ |
Junior....... | $5 | $__________ |
Family....... | $20 | $__________ |
Total : | $__________ |
|
Signed: | ____________________________ |