Scottish Cavalier King Charles Spaniel Club


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Full Membership Application

Scottish Cavalier King Charles Spaniel Club

                                                              Full Membership Application Form





NAME...............................................................................................................................

NAME…………………………………………………………………………………

ADDRESS...........................................................................................................................…………………………..

...............................................................................................................................POSTCODE..................................

E MAIL.................................................................................................................TELEPHONE.................................

AFFIX..................................................................................................................SINGLE/JOINT /JUNIOR MEMBERSHIP (delete)


I/We apply for election as a Full Member of the SCKCSC as I/we have been Associate Members for two years and agree to abide by the Rules and Regulations of the Club, as in force at the date of my/our application or as subsequently amended at the General or extra-ordinary General Meeting of the Club. I/We agree to abide by the Code of Ethics of the SCKCSC and the Kennel Club Ltd.

The application shall be proposed by and seconded by fully paid-up full members of not less than two years standing, to whom they are personally known and approved by a two/thirds majority of the full committee


Proposed by........................................................................................BLOCK CAPITALS PLEASE

A Full Member of the SCKCSC.......................................................................................signature

I have known the applicant for .....................................................................................many years

Seconded by.................................................................................. .BLOCK CAPITALS PLEASE

A Full Member of the SCKCSC ......................................................................................signature

I have known the applicant for .....................................................................................many years

PLEASE MAKE ALL CHEQUES/POSTAL ORDERS PAYABLE TO:S.C.K.C.S.C.

Single Membership: £8.00 plus £2.00 joining fee

Joint Membership: £10.00 plus £2.00 joining fee

Overseas Membership: £12.00 plus £1 joining fee

Junior Membership: £3.00 plus £0.50 joining fee *up to age 16 (please state date of birth)

Completed application forms are considered at the Committee meeting for which details are received in time to be included on the Agenda. The Membership list is held on a computer database. Notice is therefore given to any applicant for membership of the implications of the Data Protection Act 1994. This list may be published on the internet and in Society publications. Please inform the Secretary if you wish your details to be withheld.

Please note that Annual Subscriptions are due on 1st January. Members whose subscription remains unpaid on 31stMarch each year will be deemed to be a lapsed member. In this instance an administration fee of £2 will be required.


Signature of applicant(s)...........................................................................................................

Date ..................................................................................................................................

For SCKCSC use only

Date Received for Membership:- .....................................................................................

Date Elected by Membership:- ........................................................................................

Please send Application Form & Correct Fee to

Please return completed form & correct fee to:

Mrs E Smith, 9 Elm Grove, Larbert. Stirlingshire FK5 3LP