BRITISH  RAILWAYS  AMATEUR  RADIO  SOCIETY
	www.BRARS.info 	Affiliated to RSGB & FIRAC

MEMBERSHIP  APPLICATION  FORM

Please return this form with your subscription to 
BRARS Membership, Richard Waterman G4KRW, 
     170 Station Road, Mickleover, DERBY, DE3 9FJ
membership@brars.info

President - Geoff Sims G4GNQ
 85 Surrey Street, Glossop, Derbyshire, SK13 7AJ	Chairman - Barry Middleton G4DBS
10 Curtois Close, Branston, Lincolnshire, LN4 1LJ	Secretary - Ian Brothwell G4EAN,
56 Arnot Hill Rd, Arnold, Nottingham, NG5 6LQ	

Name: 	___________________________________	Call sign(s): ____________________

Address: __________________________________	____________________   

	___________________________________	Please circle:

	___________________________________	RSGB member – Yes  No

	___________________________________	ISWL member -  Yes  No  
	      
E Mail: 	___________________________________

Railway QTH & Occupation (if applicable)  ____________________________________________ 

	Signature    ____________________________________	Date  ______________

Amateur Activities   	_________________________________________________________

	_________________________________________________________

	_________________________________________________________
                          
Other Hobbies	_________________________________________________________
	
	_________________________________________________________

I agree to abide by the rules of the BRARS. My MEMBERSHIP CATEGORY and SUBS are:

	FULL = £6.00	ASSOCIATE = £6.00	RETIRED = £5.00	(please circle the appropriate category)

Subscriptions are renewed annually in January. Please make your cheque / P.O. payable to BRARS.

	Admin use

The above applicant has been accepted as a FULL / ASSOCIATE / RETIRED member of the Society and will receive Newsletters and pages of the Firac Call book.

Signed	BRARS Membership
 Date                           	© BRARS. Revised 30-Oct-2017 by G4EAN