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Scottish Breeds Canine Club
Members Application Form
(New Members Subject to Committee Approval)
Name…………………………………………………………………………………………………………………………………………………………………………
Address…………………………………………………………………………………………………………………………………………………………………….
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Post Code:……………………Telephone No:…………………………………………….Mobile No…………………………………………..
Email Address…………………………………………………………………………………………………………………………………………………………..
Preferred Method of Contact [please circle] Post Email Telephone
Breed[s]…………………………………………………………………………………
MEMBERSHIP FEE’S
Joint: £10.00 Single: £8.00 Junior: £3.00
TREASURER’S USE:
Received……………………………………………………… Approved…………………………………………………
Please return completed form together with your payment to:-
Mrs Connie Ford ‘Shillay 5 Darngaber Gardens Quarter By Hamilton
SOUTH LANARKSHIRE ML3 7XX
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Membership Receipt of Payment to Scottish Breeds Canine Club
Name:…………………………………………………………………………..Date of Membership…………………………………………………………
Address……………………………………………………………………………………………………………………………………………………………………….
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Committee Member:-…………………………………………………Committee Member’s Signature……………………………………..
We hereby confirm that Scottish Breeds Canine Club is GDPR Compliant Club and all Members details will be held on our secure computer database
and may be forwarded to The Kennel Club with the Club’s Annual Returns in accordance with The Kennel Club Rules.