Scottish Ski Club Membership Application Form

Title	Forename	Surname	Date of Birth	Racer (y/n)

Type of Membership Family £66 Husband and wife/partner £62 Ordinary £33 Intermediate 18-25 £22 Junior 0-17 £15 Social £10 New         Renewal

Skiing Area Please tick more than one only if you ski the area regularly Cairngorm Glenshee Glencoe Nevis Range Lecht Other

Address: Post Code: Telephone number: Email:

Please read the Direct Debit Guarantee form and then complete the Direct Debit Form or make cheques payable to the Scottish Ski Club. Data Protection Act 1984. I agree to this information being held on a computerised mailing list.

Signature:

Please send to Dave Leckie, 6 Galloway Place, Fort William PH33 6UH

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