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I wish to become a member of the Manx Electric Railway Society and I apply for membership. NAME ........................................................................................................................................................................................... ADDRESS ................................................................................................................................................................................... ........................................................................................................................................................................................................ ........................................................................................................................................................................................................ Email address
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To: The Manager............................................................................................................................................................. Bank Address......................................................................................................................................................................................... Please pay to the
ISLE OF MAN BANK, Parliament St Branch,
Ramsey, Isle of Man, Sort Code 55-91-10 £ ........................... ( ........................................................................................................................ In Words) NOW and on the first day of April next and every succeeding 1st April until countermanded by me in writing. NAME .................................................................................. ACCOUNT TITLE ..................................................................... ACCOUNT NUMBER ....................................................... BANK SORT CODE ................................................................. HOME ADDRESS ...................................................................................................................................................................... DATE .................................................................................... SIGNED ...................................................................................... |