Membership renewal form Menu Feilding & District Steam Rail Society Inc Membership renewal form Membership runs from 1st July until 30th June the year after. First Name* Last Name* Spouse Street Address Suburb City:Select townFeildingPalmerston NorthLevinAshhurstWanganuiNew PlymouthUpper HuttOtaki BeachParaparaumuBullsMartonDannevirkePahiatuaMastertonUnited KingdomFoxtonShannonBunnythorpeInglewoodOtherWhitbyLower HuttWaitaerePoriruaMatamataKaitaiaHuntervilleWaikanaeTokoroaRongoteaChristchurchWellingtonOtakiPapatoetoeFoxton BeachWaipukurauWoodville Post code Landline No.* Cell Phone No.* Date of Birth* Driver Licence No. Expiry Date: First Aid Cert Expiry Date: Occupation E-Mail Address* Type of Membership please (Click one)* Ordinary Member $30 Family Member $40 (2 Adults & 2 Children) Junior Member $15 (under 18) Comments Payment Details Payment was made by: Cash Bank deposit Cheque Bank Deposit details Account Name:FDSR Account Number:03-0626-0659376-000 Please use your First name & surname as a reference and return this completed form.