MEMBERSHIP APPLICATIONPlease complete in BLOCK CAPITALS and return to theScotch Malt Whisky Society, Postbus 1812, 4700 BVRoosendaal, The Netherlands.NAME:______________________________________________________ADDRESS:___________________________________________________POSTCODE:__________________________________________________TOWN_______________________________________________________COUNTRY____________________________________________________DAYTIME PHONE:_____________________________________________EVENING PHONE:_____________________________________________FAX:_______________________________________________________SIGNATURE:_________________________________________________An increasing number of Society documents are available in German.When a choice is available, please indicate which language you prefer:            English         GermanThe initial subscription covers your first year's membership and anexcellent introductory bottle of Society whisky. Membership costsNLG 160, BEF 3030 or DEM 142. Please select one of the followingpayment methods:__ Bank transfer for Germany ABN/AMRO Düsseldorf   No 14.32.664/018. Bankleitzahl 301 204 00 (DEM)__ Bank transfer for The Netherlands ABN/AMRO   No 46.25.27.700 (NLG)__ Bank transfer for Belgium BBL No 310.1190885.05 (BEF)__ A guaranteed, completely filled-in and crossed Eurocheque   in Dutch Guilders (please do not forget your pass-number!)__ Giro betaalkaart__ Diners Club   __ American Express   __ Visa   __ Euro/Mastercard     __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __       Good thru ___/___Please allow 14 days for delivery. Do not accept damaged goods;instruct postman to return package to The Society. A replacementwill be despatched immediately.Membership is renewable annually on the anniversary of your enrolment,and the annual subscription costs NLG 60, BEF 1135 or DEM 54.The Society reserves the right to refuse or terminate membership.           The Scotch Malt Whisky Society                 Vijfhuizenbert 103                    Postbus 1812                 4700 BV Roosendaal                  The Netherlands                Tel +31-165-533-134                Fax +31-165-540-067                E-mail smws@epost.nl