The Eurasier Club of GB

(proposed)

 

This form is for people wishing to join The Eurasier GB Club

 Please submit this form to

Membership Secretary

 

Christine Wicks

Stoupe Bank Farm

Stoupe Bank

Ravenscar, Scarbourgh 

North Yorks.

YO13 ONQ 

With a cheque/ postal order made payable to

The Eurasier Club GB

*New member  / renew membership

 

 

Name……………………………………………………………………………...

Address…………………………………………………………………………...

……………………………………………………………………………………

……………………………………………………………………………………

Post Code…………………………………………………………………………

Telephone Number………………………………………………………………..

Email………………………………………………………………………………

Web Address………………………………………………………………………

Dog Details  (if any)

 

Breed Eurasier…………………………or other…………………………………

Colour………………………………………………………………………………

Sex…………………………………………………………………………………

Date of birth………………………………………………………………….

Breeder……………………………………………………………………………..

Sire …………………………………………………………………………………

Dam………………………………………………………………………………..

 

Fee’s

 

Single member £8   Joint £10     £15 Family (2 Adults and children under 16)        overseas members  £20 Sterling

Junior £4 Up to the age of 16years where they can become Adult members and be able to vote in their own right

 Children under 16 years of age have to join with an adult.

All members must abide by the Code of Conduct and Ethics set by the Club,     

 

All Memberships Must be Approved by the Committee 

Signed

 

Signed

 

Dated

 

 

To print out this form Highlight all text, press right side mouse button, press copy, and and then copy into Word.  then Print.

Thank you