Application Form

Please fill out this form and return with a cheque/PO made payable to Three Rock Orienteering Club to:

	Vera Murtagh,
	19 The Cloisters,
	Terenure,
	Dublin 6W

If you have a printer fill out the form on screen and print it off. If you do not have a printer please just copy down the details required.

Here are the current membership fees:

Individual	euro 15.00
Family	euro 25.00
Junior (under 18), student or unwaged	euro 10.00

Membership valid until 01 January 2005

Application Details
Membership Category	Individual Family Junior Student Unwaged
Name
Address
Phone	Home	Mobile
Email
Year of birth
Other orienteering family members	Name	Year of birth

Application Details