MEMBERSHIP APPLICATION FORM

Annual Subscription Rates: Household £8   Individual £5

Donations Welcome

Please send with your cheque payable to "YDPTUG" to:

YDPTUG Membership Secretary,

19 Cyprus Mount    

St Johns 

Wakefield               

WF1 2RJ

-------------------------------------------------------------------------------------

I would like to join The Yorkshire Dales Public Transport Users Group

NAME(S):      _______________________________

                       _______________________________

ADDRESS:     _______________________________

                       _______________________________

                       _______________________________

POSTCODE:  ________________

E-MAIL         ________________

I would like to receive newsletters by email to the above address: YES / NO

Membership Fee:                                £5.00    /    £8.00    (delete as applicable)                                           

Donation:

I enclose a cheque/PO for total of:                        £

SIGNATURE: ________________

DATE:             ________________