North Staffordshire Railway Co. (1978) Ltd.

Supporting Churnet Valley Railway (1992) PLC

Membership Application Form

I hereby apply for membership of the North Staffordshire Railway Co. (1978) Ltd. and agree, if elected, to become a member of that Company and to be bound by the Memorandum, Articles and Rules of the Company. I authorize the Company to hold my membership details on computer and communicate with me by using any of the following information. I note that the Company is a Charitable Trust.

If you wish to apply via a printable form, please click here. Otherwise, please fill in our online form, below.

Make a Single Donation Welcome to the NSRC

Name(s): *

Age:

Age if under 18 years old

Address: *

Postcode: *

Telephone Number: *

Mobile Number:

Email: *

Occupation: *

If retired, provide your former occupation instead

Optional Donation:

Optional, insert amount without currency symbol, dots or commas

I would like to: *

Renew an existing membership

Buy a gift membership

I am considering becoming a volunteer

If considering volunteering, check this box. Our volunteer co-ordinater will contact you

Apply Gift Aid to my donations

I wish all donations since 6th April 2000 and onwards as a Gift Aid donation

Please note the following:

The Board of Directors has the right to refuse membership. Persons under the age of 16 may only work on the Railway under supervision and with written consent of a parent or guardian.

Under the Memorandum of Association each member is liable to a maximum of £1.00 for liabilities of the Company if it is wound up in so far as liabilities exceed assets.

Membership Application Form

Reconnect Leek Monthly

Please note the following: