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	President	Mr R.Snell	Chairman	Mr E.Grant
	Hon Treasurer	Mr. R.L. Brown	Hon Secretary	Mr. B.Blunden
	Tel	0121 779 2692		"Evesdrop"
				Epping Road
				Broadley Common
				Nazeing, Essex
				EN9 2DH
			Tel	01992 892079
			Fax	01992 892704

 

MEMBERSHIP APPLICATION

I/We wish to apply for Membership of the Southern Bullmastiff Society, and if elected agree to abide by the rules of the Society.

Name(s) ..........................................................................................................................

Address ...........................................................................................................................

..............................................................................................Post Code...........................

Telephone Number ...............................................................

Signed  ............................................ Date ............................

Proposed By ...........................................................................

Membership Fees enclosed £.......................... Cheque/PostalOrder/Cash

(Please make cheques postal orders payable to the Southern Bullmastiff Society)

Joining & Membership Fees -

A joining fee of £5 is payable on all applications + membership fee as follows :-

Please return this form to the Honorary Secretary