Gift Membership Application As advertised on Return this completed form to: Contact us at: MCofS t: 01738 493 943 The Old Granary e: email@example.com West Mill Street w: www.mcofs.org.uk Perth PH1 5QP Recipient Your Name: Name: Additional names for Joint or Family membership: Address: Recipient’s Postcode: Address: Telephone: Postcode: Email: Welcome pack Annual Membership type: Please indicate where you would like the member’s Individual £19.50 welcome pack delivered to by ticking one box: Send directly to the recipient (in time for the Youth £13.75 membership start date) Concession £17.10 Send pack to me Joint (2 adults at same address) £39.50 Family - Kids are free! £39.50 Kids enjoy free membership but please ADD Membership start date £3.50 insurance fee for each child under 18 yrs £ ____ First day of which month? Total £ ____ This offer is only available to UK residents FREE gift (choose one): Silva Expedition 4 Compass Payment Options (choose one) MCofS ‘Saltire’ Chalk Bag Cheque payments are accepted only if drawn on a UK Bank Account Hill Walking Essentials DVD Cheque Make your cheque payable to MCofS. Map (See website or phone for choice) Credit/Debit Card Please insert your card details Choice of Map ……………………………….. ____ ____ ____ ____ ___ Valid from(if applicable) _ _/_ _ Expires _ _/_ _ Issue No.(If shown) _ _ Security Code _ _ _ Gift card Enter details for a personalised gift card or leave blank Signed ___________________ Date _________ if you do not want one Please supply the address to which your card is registered IF it is different from that above. To (recipient): From (your name): Where did you see this offer advertised? Message: MCofS website Walkhighlands.co.uk Facebook Twitter Other ……………..
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