Membership Application

First Name:
Surname:
Business Name [if applicable]:
Postal Address:
Town:
Postcode:
Contact Telephone:
Mobile:
Email Address:
Your age:
Skills and/or interests: Train Driver
Train Guard
Station Crew
Track Crew
Building Works
Gardening
Marketing
Special Events
Administration
Membership Category:
Preferred payment method:

© Walhalla Goldfields Railway Inc. 2012 • ABN: 50 886 279 186    INC: A00226304V • Last update 9.30am, 17 March, 2012