Forth & Tay Disabled RamblersSPAN>

 

MEMBERSHIP APPLICATION/ RENEWAL

 

Individual membership is open to anyone aged 18 and over (£12). Joint membership is available for 2 people living at the same address (£18).

 

NAME(S):……………………………………………….................................................................................

 

ADDRESS/ POSTCODE:………………………………………………………………………………..…………………………………………

 

Tel: ……………………………  Email: … ………………………………… Mobile: …………………………

 

Individual £12     / Joint £18    / Donation £.......... (Please delete as necessary)

 

Cheque or PO payable to FORTH & TAY DISABLED RAMBLERS to: The Secretary, Forth & Tay Disabled Ramblers, 10 Ravenscraig Street, Kirkcaldy, KY1 2AL

.............................................................................................................................................

 

I HAVE READ AND AGREE TO ABIDE BY THE SAFETY GUIDELINES FOR MEMBERS

(See website or copy available on request - Phone 01592 203246)

 

Signature(s): …………………………………….........................................Date: ……………………………….

 

.............................................................................................................................................

If you DO NOT wish any photographs taken of you during group activities to be used for our website or promotional literature, please sign below:                            

 

Signature(s): ……………………………………………………     Date:……………………………

   

.............................................................................................................................................

For those who bring their own scooter or power chair to rambles:

 

I ENCLOSE A PHOTOCOPY OF MY CURRENT SCOOTER/ POWERCHAIR INSURANCE, WHICH INCLUDES PUBLIC LIABILITY INSURANCE. I WILL SUPPLY THE SECRETARY WITH A PHOTOCOPY OF THE NEW POLICY IMMEDIATELY IF THIS EXPIRES DURING THE SEASON.  PLEASE TICK IF ENCLOSED.

.............................................................................................................................................

 

PLEASE RETURN TO:

Forth & Tay Disabled Ramblers, 10 Ravenscraig Street, Kirkcaldy, KY1 2AL.

A membership pack will then be sent out to you.