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To join the club, please print this form and send
it to the Secretary, British Lop Pig Society, Farm Five, The Moss,
WHIXALL, Shropshire, SY13 2PF. Alternatively, fax it to 01948
880243. In due course we will be considering the facility to join online.
I wish to become a member of the British Lop Pig
Society. When elected I agree to pay the annual subscription, in
advance, on 1st January annually and to conform to the
Constitution
and Rules of the Society (click here) until the termination of the year in
which I shall withdraw my membership, by notice in writing to the
Secretary.
| Name |
| Address
|
| Postcode |
| Telephone |
| Mobile |
| Fax |
| Email |
I would like to
use the Herd Prefix (one word)
.......................................................
(£2.00)
and the Herd Designation Letters (2 or 3 letters)
.............. |
Type of member
(please select as appropriate);-
Life Member
(£200.00)
Full Member (£20.00)
Family Member
(£30.00)
Associate Member
(£10.00)
Junior Member (date
of birth required) (£5.00)
For details of membership categories,
please click here. Note that
new members must pay the appropriate membership plus the
£2.00 for registering the prefix. |
| I am/am not
(delete as applicable) also a member of the British Pig
Association. |
I have submitted the Banker’s Order below
directly to my Bank (preferred option).
I enclose my cheque herewith for
£................ |
Bankers Order
| To (Name of
Bank) |
| Address of
Bank (include Postcode)
|
Please pay to
HSBC Bank Ltd, Barras Street, Liskeard, Cornwall
Sort Code 40-28-22 Account No. 91006886
In the name of British Lop Pig Society |
Immediately the
sum of £.......................(for first subscription
and herd name designation)
Followed by the sum of £........................on 1st
January annually thereafter (for subscription) until I
modify or cancel this order. |
| Name |
| Address
|
| Postcode |
| Signature and
Date
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