To join the Bala Lake Railway Society, please complete, print& post the membership form along with your total remittenance to: BALA LAKE RAILWAY SOCIETY, Membership Secretary, Mr. Ben Barnes, Rectory, Mallwyd, Machynlleth, Powys SY20 9HJ. NOTE: We are unable to accept Credit or Debit cards at this time.

Annual Membership
Adult	£13.50	Associate	£9.00
Senior	£10.00	Junior	£9.00
Family (2 adult + any junior at same address)	£27.00	Total Fees
Personal Details (Adult: 18 - 64 incl. or Senior: 65 & above)
Title (Mr, Mrs, etc)
First Name
Middle Names
Last Name
Disabled (Yes/No)		Date of Birth
Email Address
Associate Details (Spouse or Partner Adult:18 - 64 incl. or Senior: 65 & above)
Title (Mr, Mrs, etc)
First Name
Middle Names
Last Name
Disabled (Yes/No)		Date of Birth
Junior Details (under 18)
First Name
Middle Names
Disabled (Yes/No)		Date of Birth
First Name
Middle Names
Disabled (Yes/No)		Date of Birth
Address Details
Address
Address
Address
Address
Postal Code
I/We enclose a stamped, self-addressed envelope and a cheque/P.O. (presented in GB Pounds Sterling) made payable to Bala Lake Railway Society.
Member Signature (Adult/Senior)
Associate Signature
Date