The Golden Retriever Club

Application for Membership (OVERSEAS - ASSOCIATE ONLY)

I/we do hereby apply for membership of the above Club, and I/we will undertake to abide by the rules of the Club. I/we will also do all I/we can to support the ideals of the Club, namely

(A)	To encourage the breeding and type of Golden Retriever as laid down in the breed standard of excellence
(B)	To encourage the working ability of the breed
(C)	To abide by the Club's Code of Ethics

I/we agree for details to be stored in a computer for GRC reference and mailing purposes.

THIS FORM MUST CONTAIN SIGNATURES OF BOTH PROPOSER AND SECONDER (below)

PLEASE PRINT CLEARLY TO ENSURE DETAILS ARE CORRECTLY ENTERED ON TO THE COMPUTER

Applicants Signature(s)...........................................................................................Date....................................................

Surname...........................................................................Initials.............................Mr/Mrs/Miss.......................................

Address.............................................................................................................................................................................

...........................................................................................................Country..................................................................

Postcode............................................email.......................................................................................................................

Telephone (incl STD code).........................................................Affix...............................................................................

I/we enclose subscription for £13 SINGLE or £14 JOINT - made payable to The Golden Retriever Club. On NO account should the cheque be made payable to an individual. Members outside Europe requiring Airmail please add on £7

£

Subscriptions are renewable on 1st February each year.

Payment by:- UK Cheques, Sterling Draft on a London Clearing Bank ONLY or by CREDIT CARD

Type of Card Visa ...............Mastercard....................Delta.................Switch..................

Card Number..................../...................../..................../..................... Expiry Date .........../..............

Security Code (last 3 numbers from reverse of card)...................Signature................................................

PLEASE ENSURE CARD NUMBER, EXPIRY DATE & SECURITY NUMBER ARE ALL CORRECT

The undersigned MUST be fully paid up MEMBERS of The Golden Retriever Club

Proposed by (block letters) ...................................	Signature..............................Memb ID................
Seconded by (block letters).....................................	Signature..............................Memb ID.................
SUBSCRIPTION RATES: Overseas Joint Membership £14: Overseas Single Membership £13	Outside Europe airmail £7 extra tick if required :..........: Australia,Bermuda, Canada, Hong Kong, India, Israel. Japan, New Zealand, S. Africa, USA, W. Indies

Membership will not become effective until approved by the Executive Committee.

COMPLETED FORM WITH SUBSCRIPTION or CREDIT CARD DETAILS must be returned to

the Membership Secretary:-

Mrs C D Ashton,	Telephone : 0151 648 9114
Willow Cottage,	email: webmaster@thegoldenretrieverclub.co.uk
Sandy Lane North,
Irby, Wirral
CH61 4XU
England	Please mark envelope 'Membership Application'