Wiltshire & District Cat Club Hon. Treasurer and Membership Secretary: Mrs Jackie Pell 'Chakira', 62 Moredon Road, Swindon, Wiltshire SN25 3DG Tel: 01793 481554

Membership application form

Title and Full Name:
Address and Postcode:	Tel No:
Email Address:

Proposed by: .......................................................................... (Must be Club Member or a Veterinary Surgeon)	Seconded by: ......................................................................... (Must be Club Member or a Veterinary Surgeon)
CATS OWNED:
PEDIGREE: (Please state breeds) .................... ................. .................... ................. If a Breeder please state your GCCF Prefix ...........	NON-PEDIGREE:

Signature .......................................... Date ...........

(if under 18, signature of parent or guardian must follow with name in blocks

CLUB FEES			Due
Fee payable on Applying to Join	Junior under 18	£0.50
	Others (per person)	£1.00
Annual Subscription payable 1st January	Single	£4.00
	Joint (adult partners)	£6.00
	Single Junior or Senior Citizen	£2.00
	Joint (one adult, one Junior or Senior)	£6.00
	Joint (two Junior or two Senior or one of each)	£4.00
	Total due:

Please make cheques out to Wiltshire & District Cat Club and send with this form to the Membership Secretary.
NB: Grant of Membership is subject to Committee approval. Your details will be stored on a database for Club use.

For Club use
Date received.........................Membership approved......................... New Member pack sent............................      Return to Home Page