NEW MEMBER FORM Membership runs until 31/3/16 Your details: Name _________________________________________________________ _______________________ Address ______________________________________________________________________________ ____________________________________________________Postcode:__________________________ Tel ________________________________ Mobile ___________________________________________ (very useful for contact on the way to/during meets) e-mail _______________________________________________________________________________ (We will send your club newsletter and updates to this address) Age band: 18-34 35-54 55-64 65+ Gender: Male Female How did you hear about the club? ______________________________________________________ Membership statement: I am over 18 years of age I understand that I come on club events entirely at my own risk I take responsibility for my own safety and enjoyment and will consider that of others I agree to advise the meet contact that I am attending and to be supportive to him/her and other walkers at club events I allow my name, address, e-mail and telephone/mobile numbers to be stored electronically for: 1) sending to Mountaineering Council of Scotland for membership and insurance 2) club newsletter/updates distribution and other general administration purposes 3) inclusion in club membership list, sent annually to all members, and updates in club newsletter (town, email and telephone/mobile numbers only, not full address) The SCHC will not pass on your details to any other third party **Please sign either the Ordinary or the Associate section below** Ordinary member I declare my faith in Jesus Christ as my Saviour, my Lord and my God. Signed:______________________________________ Date:______________________________ Associate Member I would like to participate in club activities and receive the newsletter, but I do not wish to become a full voting member of SCHC. Signed:______________________________________ Date:______________________________ Membership fee and next steps: Ordinary or Associate member: £20 Discounted rate: £16 – in full time Christian work / long term unemployed (delete as relevant) Fee includes Mountaineering Council of Scotland membership and insurance. (See p2 for more on this) Please return this form with the membership fee (cheques made out to: SCHC) to: Janice Angwin, Membership Secretary - SCHC, Ach a Mhonaidh, Lentran, Inverness, IV3 8RL Our website: Please tick the box if you are happy for us to include your photo as part of any group, with no names attached, on our website or Facebook page. We will not include photos of individuals at all. Admin use Address etc checked on membership dbase Fee banked
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