If you wish to join the Southern Railways Group, please complete this 
application form and post the completed form, with your remittance (see below), 
payable to "Southern Railways Group" to:

Membership Secretary SRG
Danescroft
65 Flaxpiece Road
Clay Cross
Derbyshire S45 9HD
United Kingdom




I,  .........................................................................
(name in BLOCK CAPITALS) 

hereby apply for membership of the Southern Railways Group (SRG) and
undertake to observe the rules as published from time to time, including
Portfolio and Library rules. 

I consent to personal data being held and processed by computer
	- as part of the SRG's administrative procedures,
	- to assist the SRG in implementing its aims and objects.

I enclose a  * cheque / postal order / money order to the value of (pounds 
sterling) * £12.00 (United Kingdom residents) / £17.00 ( European residents)
/ £20.00  (Rest of the World residents), in respect of my first year's 
subscription.  If you would like to join for three years, then a reduced rate
applies as follows:  * £33.00 UK / £46.00 Europe / £55.00 Rest of World.

Age (if under 18)............

Address (BLOCK CAPITALS)


.............................................................................


.............................................................................


.............................................................................


Post Code...................................


Email address: .............................................................. 


Signed.......................................................................

* please delete as appropriate

-----------------------------------------------------------------------------
For Group Use Only:
 
Source: SRG Website  MIP Sent................     Membership Number:..........


-----------------------------------------------------------------------------