The Award Winning

Cleethorpes Coast Light Railway 

Lakeside Station, Kings Road, CLEETHORPES, DN35 0AG
Tel: 01472 604657   From outside UK:  +44 1472 604657
Fax: 01472 291903
Email: office.cclr AT btconnect.com

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CCLRSA Membership Application Form
Either download one of these versions of the application form or print out this page and complete as appropriate then post to the Association at the address above with payment.
memb.doc in MS Word format
I/We wish to become a member of the Cleethorpes Coast Light Railway Supporters Association and enclose the appropriate fee for 12 months membership as below.
Name (all names for family membership) please use block capitals:
 

 

 

 

Adult: £11.00 per year
Junior/OAP/Unwaged: £7.00 per year
Family £25.00 per year
I have the following skills or trades which may be of use to the CCLRSA which I am willing to use:
 

 

 

Signed: Date:

This box CCLRSA use only.

Recd Memb Sec: