Pines Library Membership Form

To register with the library please complete this form and hand it to Reception Staff at The Pines or post to: The Pines, Drummond Road, Inverness. IV2 4NZ Telephone 01463 720030 or email [email protected]

Forename(s):

Surname:

Address:

Postcode:

Telephone:

Mobile:

Email Address:

MY UNDERTAKING IN USING THE SERVICE I accept any responsibility for any items lost or damaged while on loan to me and agree to comply with all library regulations. I understand that the information I have given will be held by the Highland Council in compliance with the Data Protection Act 1998.

We will also automatically add your details to the National Autistic Society (NAS) Scotland mailing list. The NAS will send details of local events, training. and information on autism. If you do not wish to be added to our mailing list please tick.

Signature: Date: