MEMBERSHIP FORM

Name: ………………………………………Tel No. …………………………………

Address…………………………………………………………………………………

………………………………………….………………………………………………

………………………………………………………………………………………….

E- Mail Address: ……………………………………………………………………….

Single £10                   *Family £15

* Family members must live at the same address and be named below:

…………………………………………………………………………….**Age……..

…………………………………………………………………………….**Age……..

…………………………………………………………………………….**Age……..

…………………………………………………………………………….**Age……..

** If under 16

Cheques Payable to: Rochdale & Bury Bridleways Association

Please return to:          Barbara Brown

81 Harewood Close

Norden

Rochdale

Lancs.

OL11 5TJ