Please print or copy this form

The Llandudno & Conwy Valley Railway Society

Membership Application Form

First Name(s)…………………………………………………………………………………………………

Surname……………………………………………………………..Mr/Mrs/Miss etc………………

Address……………………………………………………………………………………………………….

...……………………………………………………………………………………………………………….

..………………………………………………..Postcode…………………………..

Telephone No………………………………E-MAIL………………………………..

I enclose remittance of £……………………………..

Signature………………………………………….Date…………………………..

Adult…………£11.00… or Concession (Retired etc) £9.00 per Annum

Family……….£15.00… or Family (Retired etc) £13.00 per Annum

Junior (under 16) … £7.00 per Annum

Please make cheques payable to LCVRS and send to,

LCVRS (Acting) Membership Secretary, Ted Jones, 30, Tan-y-Bellan, Deganwy, Conwy. LL31 9RD

Or bring along to any meeting

For further details Phone- 01492 593157