The Scottish Cavalier King Charles Spaniel Club.

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

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

                                        TICK HERE [       ]

Thanks.