Bus Users UK
Membership form

Minimum annual subscription rates:
(please tick relevant box)

 Individuals: £13 - one year  
 Individuals: £22 - two years   
 * Concessionary: £8 - one year
 * Concessionary: £14 - two years
 Family (2 people at same address) : £17 - one year  
 Family (2 people at same address) : £27 - two years 
 Local groups: £17.50

* Concessionary - Senior Citizen / Student / u18 / Unwaged

I / We wish to become a member / members of Bus Users UK
I / We wish to renew my / our membership to Bus Users UK
(Please delete as applicable)

I / We enclose a cheque / Postal order for £....................
Please make cheques / Postal orders payable to Bus Users UK

Group Name: (if applicable) ..........................................................................

Title: Mr / Mrs / Miss / other ..........................................................................

Family Name: .............................................................................................

Forename: .................................................................................................

Address: ....................................................................................................

County: .....................................................................................................

Postcode:...................................................................................................

Telephone Number: ...................................................................................

Email address: ...........................................................................................

Date of birth (optional) ...............................................................................

Send your completed form along with your cheque/postal order to:

PO Box 119
Shepperton
Middlesex
TW17 8UX
01932 232574

Email: enquiries@bususers.org Web: www.bususers.org