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:  
"Friends of 4930 Hagley Hall"
Severn Valley Railway
Bridgnorth Station
Hollybush Road
Bridgnorth
Shropshire
WV16 5DT

Name:                                                                                                    

Address:                                                                                                                      

                                                                                                                                  

                                                                                                                                  

                                                                                                                                  

Postcode:                                                                                                    

Telephone number:                                                                                                    

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

Yes

No

 

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 Locomotive 4930 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: