application for membership

The Scottish Border Collie Club,

President TreaSURER SECRETARY

Mrs Ella Ashe dr dora mann mISS fIONA SUTHERLAND

Russart Cottage 69 beach road 123 LESMUIR DRIVE

High Road barassie SCOTSTOUN WEST

Maddiston troon GLASGOW

fALKIRK ka10 6sx G14 0EF

FK2 OBL

TELE:01324 716989 TELE: 01292 313963 TELE: 0141 954 6816

e-mail: Isabela.ashe@ntlworld.com dora.mann2005@yahoo.co.uk Fiona@fsutherland.fsnet.co.uk

I wish to apply to become a member of the above Club. I Have read and agreed to abide by the Club Rules and Code of Ethics.

NAME: …………………………………………………………………………………

ADDRESS: ……………………………………………………………………………..

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TELE NO: ………………………………………………………………………………

E-MAIL : …………………………………………………………………………………

SIGNED: ……………………………………………………………………………….

Proposed by: ………………………………. Signed: ………………………………….

New members must be proposed by fully paid up members who have been members for 3 months minimum.

I am interested in: Breed Showing ……. Obedience ……. Agility …….

MEMBERSHIP FEES: Joint Membership £7, Single Membership £5, Junior Membership £2