BACS Transfer Form

Membership No (Optional):

Title:
MrMrsMissMsOther

First Name:

Last Name:

Your email:

Phone:

Your Address:

Please Enter the Amount Transferred:

Please Enter the Date Transferred:

If this was for membership application/renewal please tick the appropriate Membership type:

Adult     Adult 5 Year     Family     Family 5 Year     Senior     Senior 5 Year     Joint Senior     Joint Senior 5 Year     Volunteer/Working Member     Student

If part of the Amount Transferred was for one of our Appeals please select which:
Urgent Appeal     Mainline     Hotchley Hill     Platform 2     Carriage Restoration     Rushcliffe Halt     Bus Fleet     At the Trustees Discretion

Would you consider using online submission or direct debit to help our small administration team?
get in touch

Many Thanks for supporting the LNER GC Trust.
Andy Fillingham (Chair), Karen Sharpe (Secretary), Martin Roe (Treasurer)