As a member of the DLPG you will receive the quaterly newsletter "Pioneers". Please print out this form and send it with your remittance (cheques made payable to the DERBY LIGHTWEIGHT PRESERVATION GROUP) to:-
David Gilbert, Membership Secretary, 1 Loombe Close, Swanton Morley, NORFOLK, NR20 4NW
SAE appreciatted. Please do not send cash through the post.
I / we wish to become members of the Derby Lightweight Preservation Group
| Title : |
| Full Name : |
| Address inc. Postcode : |
| Tel no : |
| Signature : |
| Subscription (year ending 30th April) | |||
| Ordinary | £10 | ________ | |
| Family | £10 | ________ | |
| School | £10 | ________ | |
| Optional donation : | ________ | ||
| TOTAL : | ________ | ||
IMPORTANT NOTICE - DATA PROTECTION ACT, 1984
The DLPG membership records are on computer for the ease of producing address labels. The records are used solely for internal administration and will not be disclosed to unauthorized persons under any circumstances. Please tick below only if you object to you records being held on computer.