Old membership form Thank you for filling in this form! Full Name * Home Address * Postcode * Telephone Number * Please enter either your; Home, Mobile or Work telephone number Virgin Daily Weekly Monthly Rarely Never London Midland Daily Weekly Monthly Rarely Never Other Daily Weekly Monthly Rarely Never Where do you mostly travel to? Do you travel? First Class Standard Class Do you have a season ticket? Yes No Apart from price, what are your top 3 concerns as a rail user? Select Option Late Trains Cancelled Trains Loss of trains through timetable changes (Virgin) Long gaps between services (Virgin) Car parking arrangements Ticketing arrangements Toilets and train cleanliness (Virgin) Overcrowding (Virgin) Lack of advance notification of timetable changes Long gaps between trains (London Midland) Loss of trains through timetable changes (London Midlland) Toilets and train cleanliness (London Midland) Overcrowding (London Midland) Other Select Option - Late trains Cancelled Trains Loss of trains through timetable changes (Virgin) Loss of trains through timetable changes (Central) Loss of trains through timetable changes (Silverlink) Long gaps between services (Virgin) Long gaps between services (Central) Long gaps between services (Silverlink) Car parking arrangements Ticketing arrangements Toilets and train cleanliness (Virgin) Toilets and train cleanliness (Central) Toilets and train cleanliness (Silverlink) Overcrowding (Virgin) Overcrowding (Central) Overcrowding (Silverlink) Lack of advance notifications of timetable changes Select Option Late Trains Cancelled Trains Loss of trains through timetable changes (Virgin) Loss of trains through timetable changes (Central) Loss of trains through timetable changes (Silverlink) Long gaps between services (Virgin) Long gaps between services (Central) Long gaps between services (Silverlink) Car parking arrangements Ticketing arrangements Toilet and train cleanliness (Virgin) Toilet and train cleanliness (Central) Toilet and train cleanliness (Silverlink) Overcrowding (Virgin) Overcrowding (Central) Overcrowding (Silverlink) Lack of advance notification of timetable changes Other Please enter your choice in here, if it isn't stated within the list. Other Please enter your choice in here, if it isn't stated within the list. Other Please enter your choice in here, if it isn't stated within the list. Have you any funny stories of your commuting experiences you would like to share? Be Positive - What do you like about travelling from Rugby? Please complete as much of this form as you can, then send a bank transfer to the following: You will need to do this, in order to become a member of RRUG!! Name of payee: NATIONWIDE RRUG; Account No: 33333334; Payee sort code: 07-00-93; Payment reference (must be used): 0503/703/769063. Submit