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Default Paragraph Font;}}{\info{\title NORTH STAFFORDSHIRE RAILWAY STUDY GROUP}{\author David Moore}{\operator David Moore}{\creatim\yr2003\mo5\dy22\hr14\min55}{\revtim\yr2006\mo4\dy8\hr13\min46}{\version3}{\edmins1}{\nofpages1}{\nofwords197}
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NORTH STAFFORDSHIRE RAILWAY STUDY GROUP
\par }{\f1\fs32\cgrid0 Membership Application Form
\par }\pard \nowidctlpar\tx2520\adjustright {\f1\fs32\cgrid0 Full Name :\tab __________________________________}{\f1\fs32\ul\cgrid0 
\par }\pard \nowidctlpar\adjustright {\f1\fs32\cgrid0 
\par }\pard \nowidctlpar\tx2520\adjustright {\f1\fs32\cgrid0 Address :\tab __________________________________
\par }{\f1\fs16\ul\cgrid0 
\par }{\f1\fs32\cgrid0 \tab }{\f1\fs32\ul\cgrid0 __________________________________
\par }{\f1\fs24\ul\cgrid0 
\par }{\f1\fs32\cgrid0 Post Code :\tab __________________________________
\par }{\f1\fs24\ul\cgrid0 
\par }{\f1\fs32\cgrid0 Telephone No :\tab }{\f1\fs32\ul\cgrid0 __________________________________}{\f1\fs32\cgrid0 
\par }\pard \nowidctlpar\adjustright {\f1\fs16\cgrid0 
\par }\pard \nowidctlpar\tx2520\adjustright {\f1\fs32\cgrid0 E Mail** :\tab __________________________________
\par }\pard \qj\li2520\ri1253\sa240\nowidctlpar\adjustright {\i\f1\fs24\cgrid0 ** To be completed if you wish to be subscribed to the \ldblquote nsrail\rdblquote  Yahoo Grou
p. The address might also be used to send to you other mailings about Group activities. Attachments would only be sent by prior agreement.
\par }\pard \nowidctlpar\adjustright {\f1\fs32\cgrid0 Subscription enclosed: \'a3             }{\f1\fs24\cgrid0 (Ordinary \'a315.00)}{\f1\fs32\cgrid0 
\par }{\f1\fs24\cgrid0 
\par Please send the completed form, four Second Class postage stamps (no SAE required), and your cheque for the relevant amount, payable to the \lquote North Staffordshire Railway Study Group\rquote , to:
\par 
\par }\pard \qc\nowidctlpar\adjustright {\b\f1\fs32\cgrid0 Mr David Moore
\par 6 Pennine Way,  Biddulph,  Staffs.  ST8 7EJ
\par }\pard \nowidctlpar\adjustright {\b\f1\fs24\cgrid0 
\par }{\f1\fs24\cgrid0 If you do }{\f1\fs24\ul\cgrid0 not}{\f1\fs24\cgrid0  want your personal details entered on our membership list for other members, then please indicate here  _____ 
\par  
\par I apply to become a member of the North Staffordshire Railway Study Group. I enclose payment for the appropriate amount and 4 x s}{\f1\fs24\cgrid0 econd }{\f1\fs24\cgrid0 c}{\f1\fs24\cgrid0 lass stamps (no SAE required)}{\f1\fs24\cgrid0 .
\par 
\par }\pard \qc\nowidctlpar\adjustright {\f1\fs24\cgrid0 ____________________________}{\i\f1\fs24\cgrid0 (signed)
\par 
\par }{\f1\fs24\cgrid0 \'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85..\'85\'85\'85\'85\'85\'85.\'85\'85\'85\'85\'85\'85\'85\'85..\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85\'85
\par 
\par }{\i\f1\fs24\cgrid0 (For NSRSG use only)
\par }{\f1\fs24\cgrid0 
\par }\pard \nowidctlpar\adjustright {\f1\fs24\cgrid0 Receipt is acknowledged of your payment of _____ to cover subscription for the 12 month period 
\par }{\f1\fs16\cgrid0 
\par }{\f1\fs24\cgrid0 commencing Jan __________  Membership Number  _______
\par 
\par }\pard \nowidctlpar\tx4410\adjustright {\f1\fs24\cgrid0 
\par }\pard \nowidctlpar\tx3240\adjustright {\f1\fs24\cgrid0 Dated :  _________\tab __________________________________
\par }\pard \nowidctlpar\tx4320\adjustright {\f1\fs16\cgrid0 \tab }{\f1\fs24\cgrid0 
\par }\pard \nowidctlpar\tx3240\adjustright {\f1\cgrid0 \tab (}{\i\f1\cgrid0 for and on behalf of the North Staffordshire Railway Study Group)
\par }}