Hon Sec

Mr J Taylor

Cheetham Fold Farm

Harrop Edge Road

Mottram

Hyde

Cheshire

Tel: 01457 762911

Treasurer

Mrs M Worsley

293 East Lancs Road

Swinton

Manchester

APPLICATION FOR MEMBERSHIP

Will you please nominate me/us

NAME          .............................................................................

ADDRESS    .............................................................................

                    .............................................................................

TEL               ..................................................

Annual subscription     £4.00

Two members in one family     £5.00

If elected I agree to abide by the club rules as in force at the time being, and understand The Kennel Club, 1-4 Clarges Street, London. W1Y 8AB is the governing body to whom all disputes in canine affairs are referred.

I enclose Cheque/Postal Order for £ ..............

Applications cannot be entertained unless accompanied by remittance

This form to be sent with your subscription to the Hon. Treasurer