WEST END BAR AIRDRIE

TARTAN ARMY

MEMBERSHIP FORM 06-07

Mr/Mrs/Miss/Ms/Dr or other title:
SURNAME:
FIRST NAME(S):
ADDRESS:



POSTCODE:

EMAIL:

DATE OF BIRTH:

PASSPORT NUMBER:

TEL. NOS:
Home (if any)

Business (if any)

Mobile

SSC No: (if any)

OCCUPATION

PASSPORT ISSUED AT (Town):

I acknowledge receipt of the Constitution & Rules of Membership of the West End Bar Tartan Army. I agree to abide by these Rules and to observe the conditions laid down therein.

SIGNATURE:    DATE:

Fill in this form, and send to

WEBATA, c/o Wull Shanks, Benson and Wood, 20 Anderson Street, Airdrie, ML6 0AA with:

a remittance for £10

METHOD OF PAYMENT:   Cheque     Cash    

N.B. Cheques should be made payable to :    WEBATA

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