The Scottish Cavalier King Charles Spaniel Club.

Subtitle


SCOTTISH CAVALIER KING CHARLES SPANIEL CLUB 
 Membership & Associate membership renewal form for 2021 

Membership & Associate membership is due on the 1st of January


and must be paid by 31 March 2021, or a £2 administration fee will be charged

Those not paid by 31st December, of that same year, will be deemed to be lapsed members, re-joining will be at the discretion of the committee


Please put all names for renewal on this form and return to

the address below


Name/s________________________________________________________


Address___________________________________________________________                


              ____________________________________________________________

  

Post Code  ______________________ 


Tel:      __________________________


e-mail  ____________________________________________ 


Affix    __________________



Please tick boxes as appropriate


Full Single                       £8  [       ]


Full Joint                         £10 [       ]


Junior (up to 16yrs)       £3   [       ]


Full Overseas                 £12 [      ]


Standing Order              Single


Standing Order              Joint



Please tick appropriate  amount


Associate members MUST apply for full 

membership on the appropriate form with a

proposer and seconder of 2 years standing.

If help is needed please don’t be afraid to ask


Associate Single      £10    [      ]


Associate Joint        £12    [      ]


Please tick appropriate  amount


Associate membership includes £2 administration fee

paid yearly for2 years before being able to apply for full membership.


Please ensure that your standing order is up to date

{Payment should go to our account with The Royal Bank of Scotland}


Total payment   [£              ]  

                                                                                  


Please make cheques / postal orders payable to,  Scottish Cavalier King Charles Spaniel Club


Please also print your name and address on the back of your cheque and return this form to:


The Treasurer –Mrs J Ballantine, 19 Middleshot Square, Prestonpans, East Lothian. EH32 9RL


If you would like a receipt, please enclose a stamped addressed envelope.


Forms for standing orders can be obtained from myself at the above address


Thank you for your help and co-operation Signature Jean Ballantine Date Dec 2020


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                                        TICK HERE [       ]

Thanks.