THE LONG DISTANCE WALKERS ASSOCIATION

NATIONAL TRAILS WALKERS’ REGISTER The National Trails of England, Wales & Scotland

CLAIM FORM

Use this form for ONE claimant only. Please photocopy if applying for more than one person. Please complete the Form in BLOCK CAPITALS (or typed) and send to: Alan Castle, Recorder NT Register, Corehead House, Annanwater, Moffat, DG10 9LT

Surname Forenames (in Full) Name as you wish to be recorded on Register and Certificate (please complete this box) Address

Postcode Telephone Email address LDWA Member? LDWA Membership No. Date of Birth (optional) Male Female

National Trail Date Completed * 2nd Completion? ** Cleveland Way Cotswold Way Glyndwr’s Way Great Glen Way Hadrian’s Wall Path North Downs Way Offa’s Dyke Path Peddars Way & Norfolk Coast Path Pembrokeshire Coast Path Pennine Bridleway Pennine Way Ridgeway South Downs Way South West Coast Path Southern Upland Way Speyside Way Thames Path West Highland Way Yorkshire Wolds Way * exact date please, or if not known then Month/Year ** add the dates of any subsequent additional completions on the reverse of this form Total Number of different National Trails Completed: Category of Award + Bronze Silver

Gold Diamond

+ Bronze = a minimum of 5 different Nat. Trails completed. Silver = a minimum of 10 different Nat. Trails completed. Gold = a minimum of 15 different Nat. Trails completed. Diamond = all 19 National Trails completed Certificate Required? If Yes please send cheque for £2.50 payable to the LDWA

Signature

Date Data Protection Act: Name and address details will be held on a computer file for administration purposes only.