Application Form

Application Form

ONDON BUS MUSEU L M A LIVING HERITAGE MEMBERS’ TRIPS 2012 APPLICATION FORM Please send me the following tickets: Date Depart/ Destination Vehicle** Ticket No. of Total Return price* Tickets £ 15 July 0900/ Alton Running Day at RT3491 £10 1730 Watercress Line 12 August 0900/ Bluebell Railway RTL139 £10 1800 16 September 0800/ Showbus at Duxford RP90 £20 1930 14 October 0700/ Isle of Wight Running Day RMC1461 £25 1930 Total £ . All departures will be from Cobham Hall with entry via the Members Hill entrance off Brooklands Road (NOT via the Brooklands Museum Visitor Entrance), full details will be sent with your joining instructions. * All ticket prices are “trip only” and exclusive of any entry charges at the destination except the Isle of Wight trip which includes the ferry trip and the IoW Bus Museum admission charge. ** Vehicle shown will run subject to availability and may be substituted in case of need. Applicant’s name: ............................................................................................. LBPT Membership No: ................ Address: .......................................................................................................................................................................... .......................................................................................................................... Postcode: ............................................ Phone: .................................................. email: .............................................................................................................. I enclose my cheque payable to LBPT Ltd for the above total of £ ......... together with a stamped & addressed envelope for the despatch of my tickets. Please send this form together with your cheque and an SAE to Alan Heasman, Flat 5, The Mill, Whittets Ait, Jessamy Road, WEYBRIDGE KT13 8LE. If you have any questions, please email Alan at [email protected] or, in extremis, call him on 01932 840758 or 07986 470148. The London Bus Preservation Trust Ltd Museum postal address: Cobham Hall, Brooklands Road, WEYBRIDGE KT13 0QN Website: www.londonbusmuseum.com Registered Office: Room 6, Tudor Business Centre, Kingswood Station, Waterhouse Lane, Kingswood KT20 6EN Registered Charity No. 1053383 Registered Company No. 1061762 MLA Accredited Museum No. 1633 (provisional) .

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