NAME:____________________________________________________________

POSTAL ADDRESS:_________________________________________________

___________________________________________________________________

____________________________________________POST CODE:__________

PHONE NOs:
Home: (___)____________Work: (___)___________Mobile: _________________

Email Address: ________________________________________

OCCUPATION:____________________________________________

QUALIFICATIONS:________________________________________

MEMBERSHIP FEES:
Annual Membership is $46.00 adjusted for new members as follows:

Join between January and June	$27.00	Receive 6 months membership and UTWs
Join between July and December	$46.00	Receive 12 months membership and UTWs
Join between April and June	$46.00	Receive 15 months membership and UTWs
Joining Fee (New Members Only)	$ 5.00

Payment is being made by (please tick one):
( ) Money Order, ( ) Cheque, ( ) Card

If paying by Card, please complete the following:
Card Type: ( ) VISA card, ( ) Mastercard.

Card Number: __________________________ Expiry Date: ____ / ____

Name on Card: __________________________ Amount: $ __________

Authorisation Signature: ___________________________

Please make your cheque/money order in favour of "The Sydney Electric Train Society Inc".
Please do not send cash through the post under any circumstances.

Enclosed is my cheque/money order/credit card authorisation covering one years membership of The Sydney Electric train Society Incorporated. I understand that in joining I will be bound by the rules and conditions of the Society as expressed in the Constitution of the Society.