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:    

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