Scottish Cavalier King Charles Spaniel Club
Associate Membership Application Form
NAME………………………………………………………………………………
NAME..............................................................................................................................
ADDRESS...........................................................................................................................
.......................................................................................................................................POSTCODE..................................
E MAIL ........................................................................................................................TELEPHONE................................
AFFIX...........................................................................................................................SINGLE/JOINT /JUNIOR /MEMBERSHIP (delete)
I/We apply for election as an Associate Member of the SCKCSC 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.
PLEASE MAKE ALL CHEQUES/POSTAL ORDERS PAYABLE TO: S.C.K.C.S.C.
Single Associate Membership: £8.00 + £2 Admin Fee
Joint Associate Membership: £10.00 + £2 Admin Fee
Overseas Associate Membership £12.00 + £2 Admin Fee
Junior Associate Membership: £3.00 *to age 16 (please state date of birth) + Admin fee 50p
An administration charge of £2 on top of the annual membership fee would be incurred annually over two years by the Adult
Associate Member.
Completed application forms are considered at the Committee meeting for which details are received in time to be included on the Agenda. The Associate/Full Membership list is held on a computer database. Notice is therefore given to any applicant for Associate Membership of the implications of the Data Protection Act 2018. This list may be used for member emails and in Society publications. Please inform the Secretary if you wish your details to be withheld. No marketing is involved
Please note that Annual Subscriptions are due on 1stJanuary. Associate member(s) will be able to apply for full membership after two
years. The full membership application shall be proposed 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
Signature of applicant(s)...............................................................................................
.....................................................................................................................................
Date ......................................................................................................................
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For SCKCSC use only
Date Received for Membership:- ....................................................................................
Date Elected by Membership:- ..................................................................
Please return completed form & correct fee to:
Mrs E Smith, 9 Elm Grove, Larbert. Stirlingshire FK5 3LP