Lancashire United Transport Society

LUT SOCIETY, 45, TARN DRIVE,
BURY, LANCASHIRE, BL9 9QB.

Membership Application Form

 

PERSONAL DETAILS
NAME:

ADDRESS:
 
 
POSTCODE:
 
DATE OF APPLICATION:
SIGNATURE: _____________________________
TYPE OF MEMBERSHIP
Please circle as appropriate

FULL 15

JUNIOR 10 SENIOR 10
NOTES: FULL membership is required for all adults between the ages of 16 and 60. JUNIOR membership 12-16 years of age. SENIOR membership 60 years of age and over.
 
Cheques/Postal Orders should be made payable to the 'Lancashire United Transport Society'. Please send this completed form to the address at the top of this form (no SAE needed).