Annual subscription for 2008/2009

First Name:                                                   

Initial of Second Name:

Surname:

Address (with postcode):

Tel:

Email:

Subscription fees (delete as applicable).

            ordinary            £25

            un-waged         £10

Method of payment: crossed cheque payable to:

Stocket Hillwalking Club

Signature:                                      Date:

Do you give permission for your details to be available to other members of the Club subject to the organisation of social events? Please circle your wish as appropriate.

YES                    NO