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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