Become a Friend of 4930 “Hagley Hall” subscription form

To make a donation, please print this page, enter your details clearly below, and send your completed form to:  
(right click and select "print")

The Treasurer,
‘Friends of locomotive 4930 “Hagley Hall”,
The Railway Station,
Bewdley,
Worcestershire,
DY12 1BG.

Name                                                                                                   

Address                                                                                                                     

Postcode                                                                                                   

Telephone number.                                                                                                   

For our information only, are you a member of the SVR?      

Please make cheques or postal orders payable to the ‘Friends of locomotive 4930 Hagley Hall. Alternatively, if you wish to establish a regular monthly standing order payment, please also complete the following bankers order, and forward to the “friends”:

Bank Name                                                                                                                          

Bank Address                                                                                                                      

Account Name                                                                                                        

Account Number                                                                                                     

Sort Code                  -               -             

Please pay to the friends account 20160210 (sort code 20-53-22 of  ‘friends of locomotive4930 Hagley Hall’ at Barclays Bank, 3 King Street, Ludlow, Shropshire, SY8 1AJ) on the first day of each month until further notice the sum of:

Monthly donation of £5/10/other                                                                  

Month of first payment                                                              20                

Signature                                                                Date