The Golden Retriever Club

Application for Membership (ADULT UK 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

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......................................................

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

I/we enclose subscription for £10 SINGLE or £12 JOINT payable to The Golden Retriever Club. On NO account should the cheque be made payable to an individual.

£

Subscriptions are renewable on 1st February each year.

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.................
Please tick any of the following in which you will be active
I wish to receive Field Trial Schedules	:...........:
I wish to receive Working Test Schedules	:...........:
I wish to receive Show Schedules	:...........:
Are you a lapsed member re-applying? Memb ID	:...........:

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

COMPLETED FORM WITH SUBSCRIPTION must be returned to the UK Membership Secretary:-

Mrs Pauline Comer,	Telephone : 01373 474499
16 Catherstone Close,
Frome,
SOMERSET,
BA11 4HR
Please mark envelope 'Membership Application