Nova Scotia Duck Tolling Retriever Club of UK
Application for Membership
Full Name: Date of Birth
(if under 18)
Address:
Post Code:
Tel No: Prefix (if any):
E.mail:
Membership required ( Please tick )
� Single £8.00 � Joint £10.00 (Must be 2 Adult Members living at the same Address)
� Junior £5.00 � Overseas £10.00 (Pounds Sterling)
Cheques should be made payable to the: Nova Scotia Duck Tolling Retriever Club of UK
If My/Our Membership is accepted I/We agree to abide at all times with the Rules & Code of Ethics of the N.S.D.T.R. Club of UK
Signed: Date:
If under 18 this application must be signed by a your Parent or Guardian
Signed: Date: Relationship:
*Proposed by: *Seconded by:
*Please Note: Both Proposer and Seconder must be a current paid up member of the Nova Scotia Duck Tolling Retriever Club of UK
Interests (Please Tick): Pet � Show � Working � Agility �
Tollers Presently Owned: (Reg. Names)
Please return completed Form and Fee to the Hon. Secretary:
Babs Harding, “Brizewood”, 2 Blewbury Road, East Hagbourne, Oxon. OX11 9LF
Tel / Fax O1235 813749 E.mail: [email protected]
If you have any Membership questions or queries, please call the Hon. Secretary
� Please Tick if you do not wish your Address to be published.
[email protected]: 01235 813749 Email: [email protected]
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