MEMBERSHIP SECRETARY MISS VAL J SMITH TEL 0121 744

8 CLUB MEMBERSHIP
APPLICATION FORM FOR MEMBERSHIP OF INNER SOUTH FAMILY
HOLSWORTHY AND DISTRICT RIDING CLUB MEMBERSHIP APPLICATION

MEMBERSHIP AGREEMENT AUGUST 1 2017 – JULY
NOTICE OF EXCLUSION FROM CALPERS MEMBERSHIP 1
THOMPSON G MARSH INN OF COURT NEW MEMBERSHIP

The Polish Lowland Sheepdog Club of Wales (Proposed)

Membership Secretary:

Miss Val J Smith

Tel: 0121 744 7154

Email: [email protected]

MEMBERSHIP SECRETARY MISS VAL J SMITH TEL 0121 744

MEMBERSHIP APPLICATION / RENEWAL FORM 2021

FEES FOR 2021 ARE: Joint £10.00, Single £7.00, Junior £1.00 & Overseas £15.00

TO BECOME A MEMBER OR RENEW PLEASE PRINT & COMPLETE THIS FORM & POST IT WITH A CHEQUE TO THE TREASURER OR YOU CAN EMAIL IT TO THE MEMBERSHIP SECRETARY AND PAY VIA PAYPAL.

ALL APPLICATIONS FOR MEMBERSHIP MUST BE PROPOSED BY AN EXISTING, FULLY PAID UP MEMBER OF THE CLUB. IF NECESSARY, PLEASE CONTACT VAL FOR ADVICE. NEW MEMBERSHIPS WILL BE ACCEPTED BY A SIMPLE MAJORITY VOTE OF THE COMMITTEE. RENEWALS DO NOT NEED A SPONSOR UNLESS YOUR MEMBERSHIP HAS LAPSED.

NAME: _________________________________________________________________________

FULL ADDRESS INC POSTCODE:

______________________________________________________________________________

TELEPHONE NUMBERS: ___________________________________________________________

EMAIL ADDRESS: ________________________________________________________________

DO YOU OWN A POLISH LOWLAND SHEEPDOG? _________________________________________

IF YES, WHO IS THE BREEDER? _____________________________________________________

DO YOU OWN ANY OTHER DOGS? IF SO, WHAT OTHER BREEDS DO YOU OWN?

______________________________________________________________________________

HOW LONG HAVE YOU BEEN INVOLVED WITH POLISH LOWLAND SHEEPDOGS? _________________

PLEASE DETAIL YOUR INTEREST IN POLISH LOWLAND SHEEPDOGS EG: SHOWING, BREEDING, JUDGING, AGILITY, OBEDIENCE, FAMILY PET, PROSPECTIVE OWNER. PLEASE STRIKE OUT ANY IRRELEVANT ITEMS.

SIGNED: ______________________________________________ DATED: ________________

PROPOSER: ___ _____________ DATED: _____________

PLEASE MAKE CHEQUES PAYABLE TO: PLSCWWE and send to The Treasurer, PLSCWWE, Netley Farm, Harrowbarrow, Callington PL17 8BG

Pay via Paypal to [email protected]

0 BOARD MEMBERSHIP OPPORTUNITY DO YOU SHARE OUR PASSION
03042021 20202021 ACADEMIC SENATE MEMBERSHIP SENATE REPRESENTATIVES TERM OFFICE
2 017 REDUCED SUBSCRIPTION FEE CLAIM FORM MEMBERSHIP NO

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