The Eriskay Pony Society

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First name
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What type of membership are you applying for?	Individual adult (£20 per annum) Individual Junior (£10 per annum) Couple (£30 per annum) Family - children under 18 (£35 per annum) Life - under 50 (single fee of £300) Life Couple - either partner under 50 (single fee of £500) Life - over 50 (single fee of £200) Life Couple - both partners over 50 (single fee of £300)
Additional Members names for joint and family memberships
I am a UK taxpayer and wish the Society to claim gift aid on this and future subscriptions	Yes No
If 'yes' and joint or family membership, name of taxpayer
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Protecting and Promoting Scotland's Ancient Hebridean Ponies