MEMBERSHIP APPLICATION FORM

Annual Subscription Rates: Household £10   Individual £6

Donations Welcome

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

YDPTUG Membership Secretary,

14 Ganners Walk
Bramley
Leeds
LS13 2PG

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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:                                £6.00    /    £10.00    (delete as applicable)                                           

Donation:

I enclose a cheque/PO for total of:                        £

SIGNATURE: ________________

DATE:             ________________