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
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
To comply with data protection Act 2018 if you do not wish to receive communication by email. please
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