Tap Shop Tartan Army
Membership Form

First Name
Middle Name
Surname
Title
Street Address
Address (cont.)
City/Town
County
Postal Code
Home Phone No
Mobile Phone No
E-mail address
*****************************************
Next of Kin
Address (if different from above)
Address (Cont')
CityTown
County
Postal Code
Telephone No
*****************************************

Scotland Travel Club Membership No :
 

Signature:    Date: 

Hand-in or Post completed form to:-

The Mid Calder Inn (Tap Shop),
c/o Tap Shop Tartan Army,
Main Street,
Mid Calder,
West Lothian.

Please do not send money in the post.