

NEW MEMBER FORM
Month: …………………
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Owners Name: |
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Address: |
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Phone No.: |
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Mobile No.: |
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Email: |
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Dogs Name: |
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Breed of Dog: |
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Dogs Age: |
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Vaccination Card Seen? |
(This section to be signed by two committee members) |
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Where did you Hear About |
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Type of Membership (Please tick as appropriate) (These fees are
non-refundable) |
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(Adult ) |
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membership & training |
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(Joint) |
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Membership & training (Two handlers training one dog) |
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(Child) |
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Membership & training) (16 years & Under) |
Prices will be given on receipt of email,
together with joining details
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Please note there may be occasions that we may be asked to declare
your name |
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to The Kennel Club. If you do not
wish the club to do so, please tick this box |
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