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Address:
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Telephone:
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| Group Area Preferred (please tick one box only) | |||
| Dumfries & Galloway | Strathclyde | ||
| Forth & Borders | Tayside & East Fife | ||
| Highland | External | ||
| North East | |||
| Membership Categories (please tick one box only) |
Cost
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Tick Box
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| Ordinary Member |
£25.00 annually
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| Family Member (includes children under 18) |
£35.00 annually
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| Private Benefactor |
£75.00 annually
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| Corporate Member |
£100.00 annually
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| Life Member |
£500.00 (age 65+ £250.00)
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| Student (please provide both permanent and term time addresses) |
£12.00 annually
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| Unemployed Member (please supply UB40 number) |
£12.00 annually
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| I would be interested in helping with casework |
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| I would be interested in helping with the organisation of group activities |
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Please return with payment to:
Membership Secretary
AHSS
The Glasite Meeting House
33 Barony Street
Edinburgh EH3 6NX
Cheques should be made payable to AHSS.
(Above rates are for members in UK and Europe. Members resident outwith these areas, please add an additional £10.00 for postage).
Membership rates correct from 1st January 2006.