MEMBERSHIP APPLICATION FORM 2008

Name

 

Address

 

 

 

 

E-Mail

 

Telephone

 

Are you a members of the Welsh Pony & Cob Soc

Yes

 

No

 

If no, would you consider joining the Society

Yes

 

No

 

ü Sections of Interest

A

 

B

 

C

 

D

 

P/B

 

 

Showing

 

Breeding

 

Driving

 

Riding

 

Subscription Requested 1 January – 31 December (pleaseü)

Before 31 March  2008 Postmark
Single

£11.00

 

Family (2 Adults & 2 Children)

£17.00

 

After 31 March 2008 Postmark

Single

£16.00

 

Family (2 Adults & 2 Children)

£22.00

 

Signed

 

Date

 

Subscriptions are renewable on 1 January irrespective of joining date. Cheques should be made payable to Lancashire WPCA and forward to: 

The General Secretary

Corran Stud

Hinds Lane

Radcliffe

M26 2XY

Tel:   0161-764 5303

 

E-Mail:   corranstud@btinternet.com