Please print of and fill it in.

Name:

Address:

Telephone number:

Mobile number:

E-mail:

Occupation:

Partners name:

Number of children:

Vehicle(s) owned:

Would you like your magazine emailed to you?   yes or no

ANNUAL FEES:

£20 New members per family (2 adults,children under 16) to include one free club t-shirt.

£15 family renewal.

Membership expires 30/12/2012

Cheques payable to: BLUE RIDGE RUNNERS

Please send completed forms to:

Jenny Stamps,

5 Old Airfield,

Springway lane

Westonzoyland,

Somerset,

TA7 0JS.                                          tel. 07751343411