The Airedale Terrier Club of Scotland
             Membership Application Form 2009

Name  …..………………………………………..……………………

Address  …………………………………………………….…………

……………………………………………………………….………....

Post Code  …………………………..    Tel  ………………………..
Membership Type   :   Single (£4.00)   /   Joint (£6.00)   /   Junior (£1.00) 
                                                       (delete as appropriate)

Date of Birth (Juniors only)  ………………………………..
Note : Juniors must be under the age of 16 at the time of application

Declaration
I hereby apply for membership of the Airedale Terrier Club of Scotland and agree to abide by its rules and regulations and accept that the committee of the Airedale Terrier Club of Scotland on behalf of its membership have the right to refuse this application if they see fit.  I also confirm that I am not currently under any suspension or disqualification from kennel Club Registered events or societies.

I have enclosed a cheque/PO for the sum of £ ……………………………..


Signed  …………………………………………    Date  ………………………

All new membership applications require to be approved by the committee of the Airedale Terrier Club of Scotland and to be formally proposed and seconded by an existing member.


Proposer  ……………………………..  Seconder  …………………….………
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Please return with the correct subscription to the Honorary Treasurer:
Mrs J Graham, Pleasant View, Blackston,Avonbridge, Falkirk FK1 2LF
Note : No receipt will be issued unless you enclose a stamped, addressed envelope

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The membership details of the Airedale Terrier Club of Scotland are held on a computer system and under current Kennel Club Regulations to which the Airedale Terrier Club of Scotland is affiliated, these details may be passed to the Kennel Club.  Applications for membership are accepted only on the understanding that the applicant accepts this condition.