PERSONAL DETAILS (Block capitals please)

Title......Surname.....................  Forename...............................

Address.........................................................................

       ................................  Post Code..............................

County(if not UK)......................  Telephone Number.......................

Email...........................................................................

PERIOD AND TYPE OF MEMBERSHIP REQUIRED (Tick as appropriate)
One Year.....    Three Year.....    Individual.....   Family*......... 
* Please give title(s) and full name(s) of family member(s):

................................................................................
PAYMENT METHOD (tick) Make cheques/postal orders payable to: The N Gauge Society

Cheque.....  Postal Order.....  Mastercard/Visa.....  Maestro(switch).....  

Card Number............................................  Expiry Date............ 

Maestro (Switch): 'Valid From' Date or Issue Number:..................

Security Number:(last 3 digits on reverse of card)....................
AMOUNT
Subscription                          ..........

*Joining Fee                          .....£5.00

Family membership                     ..........

Overseas Postage                      ..........

Handbook Ringbinder (£3 if required)  ..........

TOTAL                                 ..........
*The £5 joining fee is payable in addition to the subscription in the first year
of membership
LAYOUT, MODELLING INTERESTS and VISITOR CODING

I currently have a layout: Yes.. No.. Under construction.. (Tick as appropriate)

Country or countries modelled:..................................................	

I model:	Steam... Diesel... Electric...	(Tick as appropriate)
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Please enrol me as a member of The N Gauge Society. By submission of this form I
certify that I understand that conditions of membership include acceptance of 
the Society's Constitution and Bylaws, agreement to members' personal data being
stored on the Society's computer, and disclosure of that data, as stored, in a 
full or part Membership List requested by bona fide members of the Society. 
In addition I enclose payment or authorise MasterCard/Visa/Maestro payment as 
shown above.

Signed..............................  Date....................