Senior Membership Form – Orkney Athletic and Running Club

Athlete Name*

Date of Birth*

Gender*

Athlete Address*

Home Telephone*

Mobile Telephone*

Email*

Scottish Athletics Membership Number (if applicable)

If 2nd Claim, please state name of 1st claim club

Making Payment

Senior Membership of Orkney Athletic & Running Club costs £15 per annum. We would ask you to make the payment via bank transfer to: Account Name: Orkney Athletic and Running Club, Sort Code: 80-22-60, Account Number: 23187767 . Please use your name as the payment reference so that we can easily associate the payment with your membership.