THE SCOTTISH BEAGLE CLUB

Secretary: Fiona Quay
Skeoch Cottage, Raebog Road,
Glenmavis ML6 0PH

MEMBERSHIP APPLICATION

Title

Name

Address:

Tel No.

Proposer

Post Code

Seconder

Note both proposer and seconder must be members of the Scottish Beagle Club

Membership Fees:   Single -  £4.00 per annum
                                     Joint   -  £5.00 per annum
                                     Junior -  £1.50 per annum

(Delete whichever of the above does not apply)

I/we the undersigned wish to become a member/members of The Scottish Beagle Club and hereby do agree to be bound by it’s rules
 of membership as laid down in it’s Constitution.

I/we enclose membership fees as indicated above.

Signed:  ...................................................   Date:   .....................................

Signed:  ...................................................

This form including any membership fees should be sent to the
 Honorary Secretary at the address above
If you prefer to pay your annual subscription via standing order then
please fill out the mandate below.

                 Chairperson  : Mrs E. Calikes
                     Treasurer    : Mr A. Purves
         

         

Standing Order Mandate

REF No._____________

Please complete this form in BLOCK CAPITALS

To Bank            Sort Code

Postal Address
                          
                             Post Code

                         Please pay the undernoted Standing Order
                                     with effect from 01/01/

Signature____________________________    Date_________________

Member’s Details

Name(s) 
Full Address
                        
                             Post Code

Account Name   Account No.

 Signature____________________________    Date_________________

Please set up the following standing order and debit my / our account accordingly
Please pay the standing order to :- The Scottish Beagle Club

Bank:- Bank Of Scotland                          Sort Code: - 80-12-97

Branch Address:- 10 Church Street, Coatbridge. ML5 3EF

Account No. 00249967

Please pay the following amount:-

£4.00 (single) / £5.00 (joint) / £1.00 (junior)    In words

Due date and frequency :- January 1st, Annually

Please complete this form and return it to the Secretary of the Scottish Beagle Club ;
Ms Fiona Quay, Skeoch Cottage, Raebog Road, Glenmavis. ML6 0PH

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