TO:Membership Officer Light Railway Research Society of Australia Inc. PO Box 21 SURREY HILLS Vic 3127 Australia
I,______ (Mr,Mrs,Dr,etc) __________________________________________(full name)
desire to become a member of the Light Railway Research Society of Australia
Inc. In the
event of my admission as a member, I agree to be bound by the rules of the Society for the
time being in force.
I enclose a cheque/bank draft (in Australian currency) for : $A______.___
(see below for Subscription rates).
Please Charge my Credit Card: __ Visa Card __ MasterCard
Note: Our card payment system requires us to supply the 3-digit code (CVV, CVC) no the back of the card
Card no: _ _ _ _. _ _ _ _._ _ _ _ ._ _ _ _ Expires: _ _ /_ _.
Cardholder's Name: __________________________________________
Signature: _______________________________________ 3 digit number: _ _ _
The subscription year runs from 1 July 2022 to 30 June 2023
For the full year the subscription is: