APPLICATION FORM-UK OnlyPlease complete this form in BLOCK CAPITALS and return to The MembershipSecretary at The Scotch Malt Whisky Society, The Vaults, 87 GilesStreet, Leith, Edinburgh, EH6 6BZ, Scotland.NEW MEMBER_ I would like to join the Scotch Malt Whisky Society._ I would like to make the following person a member of The Scotch Malt Whisky Society. Name:__________________________________________________________________Address:___________________________________________________________________________________________________________ Postcode:_________________Daytime Phone Number:__________________________________________________Fax Number:____________________________________________________________DELIVERY ADDRESS (if different from above)Name:__________________________________________________________________Address:___________________________________________________________________________________________________________ Postcode:_________________Daytime Phone Number:__________________________________________________Fax Number:____________________________________________________________YOUR NAME AND ADDRESS (if giving membership as a present)Name:__________________________________________________________________Membership No (if applicable):_________________________________________Address:___________________________________________________________________________________________________________ Postcode:_________________Daytime Phone Number:__________________________________________________Fax Number:____________________________________________________________Special Message:_______________________________________________________I certify that I am/he/she is 18 years of age or over.Signed:________________________________________________________________Date:___________________________________________________________________ I enclose payment of GBP 50 for Society Membership, including an introductory bottle _ I enclose payment of GBP 25 for Society Membership, without the introductory bottle METHOD OF PAYMENT_ Cheque (payable to The Scotch Malt Whisky Society)_ Postal Order_ Access_ Amex_ Visa_ SwitchCredit Card Number: ___________________________________________________Expiry Date: __________________________________________________________Switch Issue Number: __________________________________________________Signature: ____________________________________________________________Membership is renewable each year on the anniversary of your joining andcosts GBP 20. We will send you a reminder letter shortly before yoursubscription is due. Please allow 14 days for delivery. Please note that a signature is required on delivery of whisky. Do not accept damaged goods but instruct the courier to return thepackage to the Society. All lost or damaged parcels must be reported tothe Society within 21 days of sending in your application. A replacementwill be sent out to you. The Society reserves the right to refuse or terminate membership. The Scotch Malt Whisky SocietyThe Vaults87 Giles StreetEdinburgh, EH6 6BZTel 0131-555 2266Fax 0131-555 6588