The Scottish Collie Club

Established 1885

Membership Application Form 2010

Name/s _______________________________________________________________________________________

Address_______________________________________________________________________________________

_____________________________________________________________________________________________

Post Code_________________________            Tel Number________________________________________

E mail address__________________________________________________________________________________

Affix/Kennel Name_______________________________________________________________________________

Joint £6_____________      Single £4______________________  Junior £2_________________

Signed_________________________________________________________ Treasurer.

Please complete the above section and return with your 2010 fees to the treasurer BEFORE the commencement of the meeting.

J Phillips

Honourable Secretary