Nova Scotia Duck Tolling Retriever Club of UK
Transcript of Nova Scotia Duck Tolling Retriever Club of UK
Nova Scotia Duck Tolling Retriever Club of UK
Application for Membership
Full Name: Date of Birth
(if under 18)
Address:
Post Code:
Tel No: Prefix (if any):
E.mail:
Membership required ( Please tick )
� Single £8.00 � Joint £10.00 (Must be 2 Adult Members living at the same Address)
� Junior £5.00 � Overseas £10.00 (Pounds Sterling)
Cheques should be made payable to the: Nova Scotia Duck Tolling Retriever Club of UK
If My/Our Membership is accepted I/We agree to abide at all times with the Rules & Code of Ethics of the N.S.D.T.R. Club of UK
Signed: Date:
If under 18 this application must be signed by a your Parent or Guardian
Signed: Date: Relationship:
*Proposed by: *Seconded by:
*Please Note: Both Proposer and Seconder must be a current paid up member of the Nova Scotia Duck Tolling Retriever Club of UK
Interests (Please Tick): Pet � Show � Working � Agility �
Tollers Presently Owned: (Reg. Names)
Please return completed Form and Fee to the Hon. Secretary:
Babs Harding, “Brizewood”, 2 Blewbury Road, East Hagbourne, Oxon. OX11 9LF
Tel / Fax O1235 813749 E.mail: [email protected]
If you have any Membership questions or queries, please call the Hon. Secretary
� Please Tick if you do not wish your Address to be published.
[email protected]: 01235 813749 Email: [email protected]