THE TOWN AND COUNTRY HARRIERS
Membership form
September 2008 - August 2009, inclusive.

Please complete this form, either by filling in the boxes using your keyboard, and then printing using your browser, or by printing a blank form and filling in by hand. This data is the minimum required for membership. Your date of birth is required to ensure that you are allocated to the appropriate race category. Information will not be passed to any third party. However, race results, consisting of your name, position and category will be published on the TACH website (www.tach.org.uk) and possibly in hard-copy form. You have a right, under certain circumstances, to prevent this; please consult a member of the committee. Data entered here is for the purposes of printing a membership form, and is neither automatically validated, stored electronically (other than possibly temporarily in your own computer) nor transmitted, either via the internet or by any other means.
Prompt payment is appreciated as your membership has to be recorded with, and a fee paid to, uk:athletics.
NB: If you joined after 1st April 2008 your renewal is not required until September 2009.

Name:

Address:
Post code:
Telephone:
Mobile:
Email:
Date of birth:  Male:    Female: 
Type of membership
(please tick one box): 		Single first claim membership (£12.00 per year)
Joint first claim membership (£18.00 per year)*
Second claim membership (£7.00 per year)
* If Joint, please complete a second form and clip to this one.
First claim club:
(if paying second claim membership).
Our newsletter, Rough Running News is produced four times a year, and, by default, is available, as a .PDF file, via our website. If you do not have internet access and would like to receive a paper version by post, please tick here:
Please send this form, with your cheque payable to The Town and Country Harriers, to:
Libby Bloor
161 Wellington Hill West
Henleaze
Bristol BS9 4QW.
For more information about The Town and Country Harriers, or for further copies of this form, visit, www.tach.org.uk.
© Town and Country Harriers, 2008.