Please print a paper copy of this form and post to the address below.

THE MIDLAND LHASA APSO ASSOCIATION

MEMBERSHIP PROPOSAL FORM

Hon Secretary:

Mrs Joan Scarll
The Turbary
Belton
Nr Doncaster
South York's
DN9 1PL

Tel:

01427 875982
Name(s):  
Address:  

 

 

Post Code:  
Tel:  
I/We the undersigned request that my/our name(s) be set before the Committee for election as a member/joint members of the Midland Lhasa Apso Association.  I/We agree to promote the welfare and uphold the recognised standard for the Lhasa Apso and abide by the rules of the association.  I also agree that my/our details i.e. Name(s), Address, Telephone number and Affix to be kept on computer disc.
Usual Signature(s):
Date: Affix (if applicable):
This form to be completed and forwarded with the appropriate fee to the Hon Secretary.

New members must be proposed and seconded by existing members of the association.

PROPOSED BY:  
Print name in block letters  
SECONDED BY:  
Print name in block letters  
FEES to be enclosed with this form:

Single member 8.00 pounds, joint members 10.00 pounds, overseas members 12 pounds sterling, junior member up to 16 years of age 1.50

All cheques and postal orders should be made payable to The Midland Lhasa Apso Association or The MLAA.