New Members Form

I/We wish to apply for single/joint membership of the Bedlington Terrier Association, (hereafter referred to as the Association), and confirm that I/we have read the Rules and Code of Conduct of the Association, and agree to abide by them.

Signature of Applicant(s) .......................................................................................

..............................................................……...................... Date ........….............

The Applicant(s) must be proposed by a current member, name of proposer ……………………………………………… who is a current member of the Association. (Please print)

Signature of Proposer …………………………………………………………………

Please explain briefly why you wish to join the Bedlington Terrier Association.

……………………………………………………………………………………………………………

……………………………………………………………………………………………………………

Membership Fees: Single     - £10.00
            Joint     - £12.00
            Junior (under 18)    - £2.00

Merchandise: BTA lapel badge     - £3.50 + £1.00 p&p
             The Dog in Red Car Sticker - £2.50 + £1.00 p&p

Note: Payment from persons living outside the United Kingdom must be in Pounds Sterling.

Please do not send payments until membership confirmed
Please make all payments by Bank Transfer to:
Standing Orders should be made payable to: Bedlington Terrier Association
HSBC Bank plc
Goring-By-Sea
Sort Code    40-22-33
                                                                              A/c. No.      21037749

PLEASE NOTE THAT ONLY PAID UP MEMBERS ARE ENTITLED TO ATTEND AND VOTE AT THE ANNUAL GENERAL MEETING.

Please complete the details on page 2, and send the completed form with the appropriate fee to:

Mrs Anne Offer
6, Panworth Hall Cottages
Ashill, Thetford
IP25 7BB
01760 441209

Should you have any queries, the Membership Secretary can also be contacted by telephone at 01760 441209
or by e-mail at - aboffer@hotmail.com

Page 2

                                                                 Applicant No.1             Applicant No.2

Title

Surname

First Name

Additional First Names

House Name/Number

Street Name

Suburb

City/Town

County

Postal Code

Country

Telephone Number

E-mail Address

Do you wish to receive schedules for BTA shows?

Do you wish to receive notification of BTA organised events?

Any other information/comments you feel may be of use?

Members are protected by the Data Protection Act 2018, and are assured that any data held will only be used for the purposes of the Association, and not sold or given to any commercial organisation.