Irish Transport Trust
Membership Form 2010/11
Name:- |
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Address:- |
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E-mail:- |
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Post
Code:- |
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Telephone:- |
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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 ORawe 64 Churchill Road
LARNE
BT40 2EN
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Official use
only: |
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Application
received:- |
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Application
processed: |
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cash / cheque /
PO / draft |
Amount enclosed: |
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Membership
number: |
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