Application for Membership

Please print out this page, complete the form and return it to Forth & Tay Disabled Ramblers (Scottish Charity No. SC033022).

Personal Details - Please use block capitals (or fill in the boxes before printing).

Title Forename(s) Surname
Address
Postcode
Home Phone No.		Mobile No.
E-mail
Membership Type	Individual Joint

(Individual Membership £10, Joint Membership £15)

If you are a UK tax payer, please fill out the Gift Aid Declaration below which will enable us to claim tax back on your membership fee at no extra cost to yourself.

Gift Aid Declaration

I wish Forth & Tay Disabled Ramblers to treat my membership fee and all future donations as gift aid donations

Signature ................................................. Date ...............

Please send this form along with your membership fee to:

Forth & Tay Disabled Ramblers
16 Woodlands Road
Lundin Links
Fife
KY8 6HG