MEMBERSHIP APPLICATION FORM

PETERBOROUGH-ELY-NORWICH RAIL USERS

Please complete and send this form (with a cheque for £3 payable to PETERBOROUGH-ELY-NORWICH RAIL USERS GROUP for membership until the end of 2009) to:

David Goldsmith

Thistledew

Fen Street

Old Buckenham

Attleborough

Norfolk

NR17 1NW

NAME:

ADDRESS:

POSTCODE:

E-MAIL ADDRESS:

(Our preferred method of communicating with you if you provide us with this information)