Irish Transport Trust Membership Form 2010/11
| Name:- | |||
| Address:- | |||
| E-mail:- | |||
| Post Code:- | Telephone:- | ||
| All cheques should be made payable to the "IRISH TRANSPORT TRUST". Eire members should pay by Sterling Bank Draft only. Tick category as appropriate. | |
| Adult (Northern Ireland) | £15 |
| Adult (Eire) | £15 |
| Child / OAP/ Unwaged / GB members | £10 |
NB Membership year runs from 1st March 2010 to 28th February 2011
| Send with remittance to:- | |
| Noel O’Rawe 64 Churchill Road LARNE BT40 2EN |
|
| Official use only: | ||
| Application received:- | ||
| Application processed: | cash / cheque / PO / draft | |
| Amount enclosed: | ||
| Membership number: |