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DEAF MOUNTAINEERING CLUB
Founded 1960

MEMBERSHIP FORM

I/we, the undersigned, hereby apply/re-apply for membership of the Deaf Mountaineering Club and agree to accept the Constitution and Rules of the Club.

Signature  _______________________________  Date ______________________

Signature  _______________________________  Date ______________________

Parents/Guardians should sign for members under 18 years of age

Signature________________________________  Date ______________________

I/we enclose the sum of £5.00 per person for one year, being my/our subscription for the next membership year. (The fee includes 3rd party insurance cover).

Cheques and postal orders should be made payable to The Deaf Mountaineering Club and crossed. Subscriptions are due each year on 1st November.

Mr/Mrs/Ms/Miss __________________________    _________________________
                         (first name & middle name)                     (surname)                                         

Mr/Mrs/Ms/Miss __________________________    _________________________
                                         

Address:              _____________________________________________________

                       __________________________________________

                       __________________________________________

                       _______________________________________________

Email: _____________________________________________________

Fax:__________________________       Text Mobile: ____________________


Please send this form with your cheque/postal order to:­
Mr. Gordon Hall
Hon. Treasurer, DMC
80 Coledale Meadows
CARLISLE
Cumbria     CA2 7NZ  
 


FOR OFFICE USE ONLY

Date received  ______________________      Amount paid __________________