I/WE WISH TO BECOME A MEMBER/MEMBERS OF THE BRITISH SAMOYED CLUB.
I/WE WISH TO RENEW MEMBERSHIP OF THE BRITISH SAMOYED CLUB.
(Please delete where necessary)
Please use BLOCK CAPITALS
NAME.................................................................................
ADDRESS..............................................................................
.....................................................................................
.....................................................................................
SINGLE MEMBERSHIP @ 8.00 U.K. pounds per annum ......................................
JOINT MEMBERSHIP @ 9.00 U.K. pounds per annum ......................................
OVERSEAS MEMBERSHIP @ 10.00 U.K. pounds per annum.....................................
TOTAL ENCLOSED.......................................................................
If accepted for membership I/We agree to abide by the Rules and Conditions of The British Samoyed Club.
I agree/disagree that the information given on this application form
which is to be held on database for the sole use of the Society may be
passed on to the Kennel Club under their Regulation C.4.a.(1)(b)(v).
Signature/s..............................................................
Date.....................................
PLEASE SEND REMITTANCE TO THE TREASURER: -
Mrs V. Lloyd, Croeswylan, Pen-y-Bont Fawr, Nr Oswestry, Shropshire SY10 0PE
Cheques should be made payable to BSC and not to the treasurer please.