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Your First Name

Your Surname

Gender Male Female
Date of birth
Address 1
Address 2
City
Country
Home Telephone
Work Telephone
Mobile Telephone
Email address:
Village Member? yes  no

Spice Member?

yes  no

How would you describe your current walking condition? (Don't be too modest)

Beginner
Fit beginner
Average
Fit experienced

What kind of walking do you like?

Flat
Mountainous
Generally less than 10 miles
Over 10 miles

 

Any comments or questions?

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