SCALEFOUR SOCIETY -   LAYOUT DATABASE APPLICATION
LAYOUT DETAILS
Layout Name:
Railway and period:
Website with pictures if available
Availability: (Dates, time of year etc.)
Brief details: 
Floor area needed, including operators space:
Overall dimensions of boards:
Number of operators:
Number of electric sockets needed:
Maximum travel distance:
Total insurance value, (layout, stock etc) £ Maximum single item insurance value, £
Special requirements
CONTACT PERSON
Title (Mr, Mrs, Dr.etc.) Given name Surname
Address  
Line 2      
Line 3      
PostCode/Zip Country
Phone (with area code), Home: Work/mobile:
Email address:
Scalefour Society membership number

Data Protection Act 1998 -   I confirm that I am a member of the Scalefour Society and I agree that the layout and personal data above may be held in the Society's database and may be disclosed to any third party who may wish to consider the layout for exhibition. (It is a condition of membership that the Society may act as a Data Controller in respect of the personal data of its members.  The provisions of the Act which relate to an Unincorporated Members Club apply.)

Signature_______________ _________________________Date 

IThis signature must be that of the contact person above, we cannot enter the details in the database unless this section is correctly completed.
Return the form to: Terry Bendall, at the address in the blue sheet.
For Society use only:  Last Update:

16/7/08