Membership application

To join Coastliners Rail User Group please complete the form below and send cheque for £10 payable to: Coastliners to:

Membership Secretary
Coastliners Rail User Group
89 Hutton Avenue
Hartlepool
TS26 9PR

£10 will provide individual membership through to December 2016
Family membership is also available for £15

Name___________________________________________________________________________________________________________________

Address__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________________

Post code_________________________________________________

Tel:_______________________________________________________

Email:____________________________________________________