I hereby apply for membership of the G Scale Society and agree to abide by it's rules.

I enclose a cheque for £ ................... made payable to the 'G Scale Society'.  Membership Rates
                                  (UK bank only)

Name:     ____________________________________________________________________________

Address: ____________________________________________________________________________

County:  _____________________________________      Post Code: __________________________

Telephone:  __________________    email:  ________________________________________________

Date of Birth (for juniors under 18) ___________

Signature __________________________________________     Date __________________________

How did you become aware of the Society? ________________________________________________

____________________________________________________________________________________

Please indicate the Area Group(s) for which you would like to receive information:

3 Counties * [1] ..............		North East.................		Surrey......................
		North West................		Sussex....................
				Thames Valley..........
Devon............................		Scotland....................		Yorkshire Coast........
				Yorkshire Dales........
East Midlands................		Solent ......................		West Anglia.............
Essex...........................		South Staffordshire.....		West London............
Kent..............................		South Wales Region..		West Midlands..........
Mid Wales and Marches		South West * [3] .......		West Wales..............
North Anglia * [2] ............				Wiltshire...................

[1] covering - Warwickshire, Northamptonshire & Leicestershire [2] covering - North Cambridgeshire, South Lincolnshire & East Northamptonshire [3] covering - Gloucestershire, Somerset and West Wiltshire Please send completed form to: Peter Jackson, Membership Secretary, G Scale Society, 61 Hedingham Road, Leegomery, Telford, TF1 6ZT, England 17 April2012