Send Us Your Details - Step 1 of 2

Please fill in the form below with your details and press the 'Send Your Details' button.

^* Denotes a field which must be filled in.

• Name:^*
• Address Line 1:
• Address Line 2:
• Address Line 3:
• Town:
• County:
• Post Code:
• Telephone:
• Email:^*

• Membership Type:^*
  
  Single - £16.00
  Family - £17.00
  Senior Citizen - £12.00
  No Junior rate at present
• Voluntary Contribution:
  If you wish you can add an additional voluntary contribution:
  
  No Additional Contribution
  £5.00
  £10.00
  £25.00
  

• Steam or vintage exhibits owned:
• Other interests or hobbies:

^* Indicates a Compulsory Field.