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WIREHAIRED
DACHSHUND CLUB PROPOSAL
FORM NAME..................................................................................................................................................... Address
(Block Capitals).................................................................................................................................................
..................................................................................................................................................
.................................................................................................................................................. Telephone
number
.................................................................................................................................................. Proposer..................................................................
Seconder............................................................................... I
hereby apply for membership of the Wirehaired Dachshund Club and, if
elected, agree to abide by the rules thereof. Date..............................................................................Signature...................................................................................... |
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IN
ORDER TO COMPLY WITH THE DATA PROTECTION ACT WE HEREBY ADVISE YOU THAT
MEMBERS NAMES AND ADRESSES ARE HELD ON COMPUTER DISK.
WOULD YOU INDICATE BELOW WHETHER OR NOT YOU HAVE ANY OBJECTION TO
US DOING THIS PURELY FOR THE RUNNING OF THE CLUB.
YES..................................
NO............................................. |
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STANDING ORDER This
instruction cancels any previous order To:
(Bank/Bank Society)...................................................................................................................................................... Branch................................................................................................................................................................................... Address................................................................................................................................................................................. ................................................................................................................................................................................................ Account
No. to be debited.....................................................................................................(You’re
A/C No. and Sort Code) Please
pay to the account of THE WIREHAIRED DACHSHUND CLUB the sum of 5.00
(Five Pounds) and subsequently on the 1st July each year
until cancelled by me in writing. Date........................................................................................... Signed................................................................................... |
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Account
to be credited THE
ROYAL BANK OF SCOTLAND PLC 119/121
VICTORIA STREET, LONDON SW1 6RA Account
number 71901923 Sorting
Code 15-30-00 NAME
& ADDRESS (Block Capitals)........................................................................................................................................... ..................................................................................................................................................................................................... .................................................................................................................................................................................................... This
form, when completed, to be returned to the Treasurer: Mrs
J R Naylor, Crown Farm, Dishforth, Thirsk, North Yorks.
YO7 3JU |