The Midland Basset Hound Club
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President: Mr R White
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MEMBERSHIP APPLICATION FORM
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I/We* wish to join the Midland Basset Hound Club. (* Delete as applicable.)
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| Name |
_____________________________________________________________________________
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| Address |
_____________________________________________________________________________
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_____________________________________________________________________________
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_____________________________________________________________________________
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_____________________________________________________________________________
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_____________________________________________________________________________
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| Affix (If held) |
__________________________________________________________________
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| Telephone Number |
__________________________________________________________________
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| E-mail Address |
__________________________________________________________________
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TYPE OF MEMBERSHIP.
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Joint Subscription :
Single Subscription :
Junior Subscription :
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£5-00
£3-00
£1-00
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If Junior Membership is requesteded, please state date of birth: ________________
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Please make cheques / postal orders/ International Money Orders payable to:- The Midland Basset Hound Club.
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| A Cheque/Postal Order for |
__________________________________________________
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is enclosed. |
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I/We* agree to abide by the rules and regulations of the club and the club's code of ethics
(* Delete as applicable.)
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| Signed |
_____________________________________________________________________________
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| Signed |
_____________________________________________________________________________
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| Dated |
_____________________________________________________________________________
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Thankyou for your intrest in the Midland Basset Hound Club
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Please return your completed form to:
MRS. P. PALMER, 7 SANDY GROVE, BROWNHILLS, WEST MIDLANDS, WS8 6PB.
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Each member of the Midland Basset Hound Club will consider the welfare of the breed when engaging in any activities involving the breeding, selling or competition of Basset Hounds. MBHC members are urged to comply with the following guidelines: