APPLICATION FOR MEMBERSHIP

Please print form, complete & post 'snail mail' to:

The Hon Secretary, Mr M Debenham,

Rectory Farmhouse, Huntingdon Road,

Thrapston, Kettering,

Northants, NN14 4NJ

I/we would like to become a member of The Red Rose Pekingese Club and request that my application be submitted to the Committee. I agree to abide by the Club Rules & Regulations and understand that I will not be entitled to any privileges of membership until after election and whilst any subscription is unpaid.

MR/MRS/MISS/MS___________________________________________

ADDRESS: __________________________________________________

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TELEPHONE: _______________________________________________

REGISTERED AFFIX (IF ANY): ________________________________

SIGNED: ______________________ DATE: ___________________

PROPOSED BY: ______________________________________________

ADDRESS: __________________________________________________

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SECONDED BY: ______________________________________________

ADDRESS: __________________________________________________

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Please make cheques payable to: 'The Red Rose Pekingese Club'

Membership Fees for 2009: Joint £6.00 Single £4.00

Please post application to:-

The Hon Secretary, Mr M Debenham,

Rectory Farmhouse, Huntingdon Road,

Thrapston, Kettering,

Northants, NN14 4NJ