Miniature Pinscher Club

Application for Membership

 

 

 

 

 

Full name(s):

 Please complete this section in capitals

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Address

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Postcode

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Tel number:

E-Mail     

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KC Affix

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What is your interest in Miniature Pinschers (e.g. pet, show, etc?)?

 

From whom did you purchase your Miniature Pinscher?

 

Do you own any other dogs?

 

Please select the type of membership you require

 

Single     Joint      Junior    Overseas  
£5.00    £7.00  £1.00  £7.00

                                                 

(please make cheques payable to ‘The Miniature Pinscher Club’)

                                                             Signature                                         Name in capitals

Proposed by (a current member)     -------------------------------------------------------------------------------------------------

Seconded by (a current member)    --------------------------------------------------------------------------------------------------

 I undertake to abide by the rules of the Miniature Pinscher Club and hereby apply to become a member and agree to pay the annual subscription as appropriate.

Signature(s) of applicant(s)            ---------------------------------------------------------------------------------------------------

Date:                                           -------------------------------------------------------------------------------

I agree to my contact details being printed in Pencil Marks...Please select Yes No
I wish to receive Club show schedules ...........................   ..Please select Yes No

Please print and send your signed completed application form to the Honorary Secretary Mrs H McLean, Bridgeholm, New Trows Road, Lesmahagow, Lanark. ML11 0JS Tel: 01555 892683

Please note the Miniature Pinscher Club complies with the Data Protection Act. Your details will be held on computer, but will only be used by the Miniature Pinscher Club and disclosed to the Kennel Club.