Please fill this form in, print it, sign at the bottom and send it to the address at the bottom, enclosing a cheque for £5.00 made payable to Rugby Rail Users Group
About you
Full Name	Home telephone   (we may contact you on this, so leave blank if you wish)
Home Address	Work telephone  (we may contact you on this, so leave blank if you wish)
	Mobile Telephone  (we may contact you on this, so leave blank if you wish)
Postcode	Email Address  (We shall use this as primary means of contact)

About you as a rail user
	Daily	Weekly	Monthly	Rarely/Never
Vigin
Silverlink
Central
Where do you mostly travel to :	1
	2
	3
Do You Travel :	First Class		Standard Class
Do You have a season ticket :	Yes		No
Apart from price, what are you top 3 concerns as a rail user? If your choice isn't listed, please fill in 'others' below. Where a train operator is listed against a selection you may put additional information, such as specific service times in the others field below e.g. Rugby-MK 0745.	1. 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 notification of timetable changes
	2. 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 notification of timetable changes
	3. 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 notification of timetable changes
	1.Other:
	2.Other:
	3.Other:

Give us a laugh

Have you any funny stories of your commuting experience you would like to share?

Be Positive - What do you like about travelling from Rugby?

....and finally....

Please complete as much of this form as you can, print it, sign at the bottom, and send it, together with a cheque for £5.00 made out to Rugby Rail Users Group to The Treasurer - Hilary Bayliss 326 Bilton Road Rugby CV22 7LU Data Protection Act : All data provided by you on this application form will only be used by RRUG for administration purposes relating to RRUG membership. No information has been stored by you completing this form electronically. Signed:________________________________________ Date:___________________________________