AppForm 2003

THE BLOODHOUND CLUB

Application for Membership

(Membership details are held by the Club on Computer Data File)

I hereby apply for membership of The Bloodhound Club and,

if accepted, agree to abide by the rules as set out in the Constitution of the Club.

Full Name(s)

Address

Fax or

e-mail

Post Code

Telephone

If applying for Junior membership – Date of Birth

Kennel Affix/ Name of Hound

I enclose a cheque (drawn on a UK clearing bank)/Postal Order/Banker’s Order/Cash to

value of £ to cover my current year’s subscription for the class of membership ticked below.

Signature(s)

Date

*Applicants without proposers (eg those applying via the Internet) should supply details of their interest in Bloodhounds to assist the committee.

Proposer (fully paid-up Member)*

Proposer’s Signature

JUNIOR MEMBERSHIP (less than 18 years old on 1st January last)

£5.00

SINGLE FULL MEMBERSHIP

£10.00

JOINT FULL MEMBERSHIP

£15.00

MAILING SUPPLEMENT

Europe

£2.00

(overseas members only)

Airmail

£5.00

BANKER’S ORDER FORM (Please complete but do not detach)

To The Manager

Bank/Building Society

PostCode

Sort Code

Account in the Name(s) of

Please pay the sum of £

, immediately and thereafter on 1st January

each year until amended or cancelled by me/us – to the order of THE BLOODHOUND CLUB,

account number : 0024787 at the Lloyds TSB Bank plc, sort code : 30–92–92.

Signature(s) of Account Holder(s)