EASTERN
COUNTIES CAVALIER KING CHARLES SPANIEL SOCIETY
APPLICATION
FOR MEMBERSHIP
NAME:...............................................................................................................................
ADDRESS:...............................................................................................................................
...............................................................................................................................
POST CODE......................... TEL. NO. .................................... PREFIX:
………………………
I/we apply for
single/joint/junior (under 18) membership and agree to be bound by the aims and
rules of the Society.
I/we enclose subscription as follows: £6.00 Joint Subscription,
£5.00 Single Subscription
£1.00 Junior Subscription (under 18)
(if
junior please state date of birth): All memberships are due for renewal on 1st January, each year. Those joining after the 1st October, are entitled to membership
without paying a further subscription, for the whole of the following year. APPLICANTS
SIGNATURE :..................................................................................................... PROPOSED BY: (PRINT):........................ SIGNATURE :........................................................ SECONDED BY: (PRINT):........................ SIGNATURE:......................................................... ALL PROPOSERS AND SECONDERS MUST BE MEMBERS OF THE EASTERN COUNTIES CAVALIER KING CHARLES
SPANIEL SOCIETY Please return to:
Hon. Secretary Ms.
M. Hogan, STAVONGA
DELL, 21
Pasture Road, LETCHWORTH, Herts.
SG6 3LP....................................... `(01462
670774) FOR E.C.C.K.C.S.S. USE ONLY: Date received by
Secretary:................................................................................................................... Date elected to
membership:...................................................................................................................