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FIFESTYLE APPLICATION FORM |
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FIFESTYLE APPLICATION FORM |
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WHEN COMPLETED PLEASE PRINT OUT |
| First, fill in the application form, then take it to one of the participating centres ie. leisure centres, main libraries or community use schools along with your proof of eligibility and 1 passport sized photograph, the membership fee, if appropriate. Your Fifestyle Card will be made available to you within 14 working days. |
| Fifestyle Category: | Please complete the appropriate boxes indicating the numbers applying: |
| Premier (individual) | ||
| Premier (family) | adult | *1. juniors under 5's |
| Super (individual) | adult | *1. junior |
| Bonus (individual) | adult | *1. junior |
| Bonus (family) | adults | *1. junior under 5's |
| Replacement Card | *1. Junior - 5 to under 18 years |
| SECTION B |
| Those applying for the Premier Card or the Super Card must bring proof of eligibility and address. |
| Super (ELIGIBILITY CRITERIA) | |
| ........... | |
| Premier (ELIGIBILITY CRITERIA) | |
| ........... | |
| I certify that I am 60 years and over and not
in work:
...................................................................................
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| OFFICE USE ONLY |
| Paid | Card No. | Category | Expiry Date | ||||
| Certified by | Issued by | Renewal | Previous Card No. |
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fifestyle.co.uk © 2001 Fife Council Community Services - All Rights Reserved. |
Contact: fifestyle@fifestyle.co.uk |