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Membership form

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MEMBERSHIP FORM

 

If you wish to become a member of the club please print and complete the application form below. Please post it, along with your cheque, to the Membership Secretary.

All applications for membership must be proposed by an existing, fully paid up member of the club.

Mrs. D EDKINS, 16 Gelli Newydd, Golden Grove Carmarthen SA32 8LP.

The Polish Lowland Sheepdog Club of WALES (proposed)

Application for membership

Name: _________________________________

Address: _______________________________

_______________________________________

_______________________________________

Post Code: ______________________________

Telephone Number: __________

E Mail address: ___________________________

Do you own a Polish Lowland Sheepdog: yes/no

Name of Breeder: ________________________________ ( if you would like to be featured on the clubs web site and in the newsletter, please submit a picture of your dog/s along with this form all photographs will be returned)

Do you own any other Dogs. If so what other breeds do you own ?: ________________

How long have been involved with Polish Lowland Sheepdogs ?:_______

Please detail your interest in Polish Lowland Sheepdogs E G: showing, breeding, Judging, Agility, Obedience, Family pet, prospective owner. please strike out the irrelevant item/s.

Signed: _________________ Dated: __________

Proposer:________________ Dated: __________

Membership will be accepted by a simple majority vote of the committee.

Please make cheque payable to The Polish Lowland Sheepdog Club of WALES, The current membership fees are single £5.00; Joint;£7.00 Junior; £1.00 overseas; £12.00