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SOUTHERN WEST HIGHLAND WHITE TERRIER CLUB
APPLICATION FOR MEMBERSHIP
MR/MRS/MS
NAME(S):
.
ADDRESS:
.........
..
POST CODE:
.. TELEPHONE NO:
....................
Type of Membership (please tick): Single Joint: Junior: D.O.B
..
Overseas: ..........................
1. Reason for wishing to join the S.W.H.W.T.C.:
...
2. How many WHW Terriers do you own?
. Are they registered with the Kennel Club? Yes/No 3. From whom did you purchase or acquire them?
4. Do you have an Affix? Yes/No If yes, state name and date granted. Affix:
Date Affix granted:
.. 5. Involvement with dogs (please tick): Breeder Pet Owner: Exhibitor: Obedience If Breeder, please list all breeds:
.
6. Do you keep any of the above breeds solely for breeding: Yes/No If yes, state which breeds:
. 7. Number of years involved with dogs as: Breeder
Exhibitor
Pet Owner
Obedience
8. Are you a member of the ABS? Yes/No If yes please state ABS Membership Number and date joined
Membership No:
.. Date joined:
. 9. Please list membership of other Canine Clubs/Societies:
.......................................................................
. 10. Do you agree to abide by the Constitution and Rules of this Club and the Rules of the Kennel Club?
. 11. Have you read the Code of Ethics accompanying this Application?
. Do you agree to govern your conduct by its terms and spirit?
DATE:
.. SIGNATURE(S):
Proposers Name:
. Signature:
..
Seconders Name:
Signature:
.....
Date received:
.. Date approved:
*JOINING FEE: £10.00 Club Badge £2.00 *ANNUAL SUBSCRIPTION UK: Single £7.00 Joint £11.00 Junior £2.50 *ANNUAL SUBSCRIPTION OVERSEAS: Single £11.00 Joint £17.00
*Initial payment is joining fee PLUS annual subscription.
Cheques should be made in sterling payable to: SWHWTC Amount Enclosed: £
Application form, together with the relevant amount, should be returned to:
Hon Secretary: Mrs Marion Smewin, 6 Newcomen Drive, Tipton, West Midlands DY4 8XX
Tel: 0121 520 9115 e-mail: marionwhwt@blueyonder.co.uk
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