MEMBERSHIP FORM

PLEASE WRITE in BLOCK CAPITALS or TYPE

(/) Delete where necessary

I/We wish to become a member/members of the CatTica All Breeds Cat Club

I/We agree to promote the interests of the Club to the best of my/our ability and abide by the club rules.

I/We enclose £  ______________

Single Member : £8.00

Joint Members : £14.00

Family Membership : £18.00

Child*/OAP: £4

 Membership shall run for 12 months from date of acceptance and be renewable annually.

* Children under the age of 18 years may apply for membership, but the application must be counter-signed by a parent or guardian.

 

 

Name : Mr /Mrs /Ms /Miss /Mstr . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Post Code : . . . . . . . . . . . .
Tel : . . . . . . . . . . . . . . . …………….. Fax. : . . . . . . . . . . . . . . . …… .Mobile : . . . . . . . . . . . . . . . . . . . . .


Email : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

Web Address ……………………………………………………………….

 

Breed (S) of Cat You Own : . . . . . . . . . . . . . . . .
Prefix : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 

 

Signature : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date : . . . . / . . . . / ……..

 

 NB. Membership details are recorded on computer for club use only. Please send your completed form with remittance.  CatTica Reserve the right to refuse membership. Cheques must be Payable to CatTica Cat Club and forwarded to:- 

Dr Babus Ahmed, 51 Dads Lane, Birmingham B13 8PG