ROSS & DISTRICT WALKING GROUP            Return to Membership Page

APPLICATION FOR MEMBERSHIP

Please use block letters

Title & Name:    ……………………………………………………………

Address:          ……………………………………………………………

                      ……………………………………………………………

                      ……………………………………………………………

Post Code:       ……………………………………………………………

Telephone No    ………………………………………………………

Email Address:  ………………………………………………………

Mobile Phone No.  …………………………………………………….

Dates of 3 completed walks:

1.       ……………….     2.       ……………….     3.       …………..

Proposer’s Signature:          …………………………………….

Seconder’s Signature          …………………………………….
(Please note that the Proposer and Seconder should not be members of the Committee)

Applicant’s Signature and date      …………………………………….

Date accepted by Membership Sub-Committee:    ………………………..

NB: Your details will be held on computer and will not be divulged to anyone outside RWG Committee without your prior consent.  Please sign below to show your acceptance

Signed          ……………………………

Please return completed form along with appropriate fee of £10 for single membership or £18 joint membership, payable to Ross Walking Group.

Return completed form and cheque to the Membership Secretary.   

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