Name.........................................................................

Address.....................................................................

.................................................................................

.................................................................................

Post Code:.....................................

Phone Number..........................................................

Mobile Number..........................................................

Email Address ..........................................................

Date of Birth.............................................................
(for age category)

Signature...................................................................

Please return membership form with payment to
the treasurer or any committee member of
Perth Road Runners.

2010 Subscription Fee: £15.00

Hand completed application forms for 2010 to:  

Andrew Millington

or any Committee Member