SWRA Membership or Renewal Application

*Membership renewals are due on 1^st. January each year.

New Member O

Please tick

Renewal O

Name.……………………………………………..

Address. ……………………………………….

……………………………………………………..

Post Code. ………….. Tel. No. ……………….

.

Email Addresss ...............................................................

I/We agree to abide by the Rules of the Association (Delete as applicable)

Signed. ………………. Date. ……………

*A Proposer & Seconder are required for new applications

Proposer Name. …………………. Signature. …………..

Seconder Name. …………………. Signature. …………..

ANNUAL SUBSCRIPTION

Single           £6.00

Joint £ 10.00

Family £12.00

Cheques should be made payable to;

South Western Rottweiler Association

Completed applications together with the appropriate remittance should be forwarded to -

Mr N Chubb, 1 Church View Close, Aller, Nr Langport, Somerset, TA10 0QY

The subscription of new members joining after the 1^st. October shall carry through the ensuing year.