Membership Application - Silver Stream Railway

This form is for the application of membership to Silver Stream Railway Inc, your application will be presented to the committee at the monthly meeting for acceptance.

Payment must be made in order for your membership application to be processed.

Details

First Name *

First

Last Name *

Last

Address *

Address

Street Address

Building/Suite/Apartment #

City

Region

Post Code

Country

Email

Phone

Occupation

Date of Birth (required if under 16)

Information

I’m interested in assisting site / railway maintenance

Yes

No

What areas are you interested in? (can select multiple)

Civil works (track work, drainage etc)

Grounds Maintenance

Engineering

Wood work

I’m interested in participating in train operations (subject to training)

Yes

No

What role would you be interested in (can select multiple)

Shop Sales

Guard

Station Master

Locomotive crew

Reason for wanting to join

Emergency Contact Name

Emergency Contact Number

Agreement

Are you under 16

Yes

No

Legal Guardian Name

First

Last

I understand Personal Information Supplied is for the sole use of Silver Stream Railway Incorporated and is not made available to other organisations.

Yes

If my membership application is accepted I agree to comply with the rules of Silver Stream Railway Inc.

Yes

Payment

Payment Type

Bank Transfer

Card

Subscription Type (Card)

Subscription Type (Bank Transfer)

Donation (all donations are tax deductable)

Total

Bank Transfer

Please make payment to…
Silver Stream Railway Inc
02-0772-0014314-00
Please use your name in the reference field and ‘membership’ (without quotes) in the particulars field

Credit Card

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