Skipton East Lancashire Rail Action Partnership Membership form

SELRAP aims to reconnect Skipton to Colne by rail, and to encourage any developments 
that make such a rail service more viable. 

I wish to become a member / renew membership (delete as appropriate)


Name *	  ……………………………………………………………………….


Address * ……………………………………………………………………….


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Phone	  ……………………………………………………………….


Mobile	  ……………………………………………………………….


Email  	  ……………………………………………………………….


Fee enclosed* …………………


Signature *      …………………………………………………………………………… 	Date ……………………………………………………………………		

Items marked * are needed for SELRAP to provide newsletters, all other items are optional.  


SELRAP's data protection policy is available on the members' page. 

------------------------------------- CONTACT PREFERENCES: -------------------

I agree that SELRAP may use the contact details I supply to:


Provide me with information relating to SELRAP.		by post		by email	by phone		

Remind me when my membership becomes due for renewal. 	by post		by email	by phone


[Please place a ring around each option that applies]	

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Cheques should be made payable to SELRAP and sent to our Membership Secretary:
Derek Jennings, 3  Hamilton Road, Carr Hall, Barrowford, Lancs., BB96DE

Bank transfers should be made out to : 
SELRAP sort code: 05-03-83 account: 34689554

Ordinary member: 			£8.00	valid for 12 months
Concession (retired, unwaged, student) 	£5.00	valid for 12 months
Life membership 			£60.00	
Group affiliation 			£15.00	valid for 12 months


You are welcome to participate in all open meetings. Also, we are always on the lookout for 
people with the skills and experience to strengthen the committee.

Our data protection policy is available from our Membership Secretary, Data Protection Officer, or our website www.selrap.org.uk (members page).
You can cancel your consent to use your data at any time by contacting our Membership Secretary. 
Note that cancelling consent also cancels membership and vice versa.
Any queries or complaints about how we handle your data can be made to our Data Protection Officer, or to the Information Commissioner Office. 

* Membership Secretary: Derek Jennings, 3 Hamilton Road, Carr Hall, Barrowford, Lancs. BB96DE; email: derek.jennings01@gmail.com 

* Data Protection Officer: David Walsh, 38 Western Road, Skipton BD23 2RU; email: walshdc@hotmail.co.uk

* Information Commissioner Office, Wycliffe House, Water Lane, Wilmslow, Cheshire, SK9 5AF 	
tel. 0303 123 1113	web: https//ico.org.uk/global/contact-us/