Membership Application Form
An Óige Hillwalkers 2007/2008

Name
 (Applicants must be over 18)

Address

Were you a member before?  Yes, last year  Yes, some time ago  No

New members: How did you hear about the club?

An Óige Membership Number
(Applicants must be a member of An Óige)

Contact Telephone Numbers (optional)

Daytime......................Evening..............................Mobile.....................

Email Address (required for newsletter by email)


Please read and sign the following PERSONAL DECLARATION:

PERSONAL DECLARATION

I am over 18 years of age and wish to apply for membership of An Óige Hillwalkers Club.

I accept that mountaineering is an activity with a danger of personal injury or even death.

I am aware of and shall accept these risks and wish to participate in these activities voluntarily and shall be responsible for my own actions and involvement.

I accept that An Óige Hillwalkers Club establishes the bounds on its activities through the constitution and rules of the club and I agree to abide by these.

If you agree and accept the terms of the PERSONAL DECLARATION, please sign and date here.

Signature....................................................Date...............


Club Newsletter
The club issues a monthly newsletter and distributes it by email and post. It is also made available through the webpage of the Club (http://www.hillwalkersclub.com). Please tick one of the following boxes to indicate how you wish to receive the newsletter.

By email only.................... By post only.................... By email and post

The 2007/2008 membership year runs from Oct 1st 2007 to Sept 30th 2008.

2007/2008 Membership Fee: €35.00

Please send this form with the membership application fee (cheque or postal order only, payable to An Óige Hillwalkers Club) to Donal Finn, Membership Secretary, 24 Glenmalure Park, South Circular Road, Dublin 8. Please allow two weeks for processing of the membership application.

NB: PLEASE DO NOT SEND YOUR APPLICATION BY REGISTERED POST!