NORTH OF IRELAND WEST HIGHLAND WHITE TERRIER CLUB

MEMBERSHIP APPLICATION

I/We wish to become a member of the North of Ireland West Highland White Terrier Club. Having read the Constitution & Rules and The Code of Ethics I/We agree to abide by them

Name …………………………………………………………………………………..

Address ………………………………………………………………………………..

Telephone Number ……………………email address ……………………………….

Affix (if applicable) ……………………………………………………………………

Type of Membership: Single/Joint/ Junior

How many West Highland White Terriers do you own? ……..Are they Kennel Club

Registered? …………………………………………………………………………….

How many, if any, are used for breeding? …………………………………………….

Are you involved with any other breeds? …………………………………………….

Are any of these kept solely for breeding? …………………………………………….

Please give a brief account of your involvement with dogs ……………………………

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Signature ……………………………………………….Date …………………………

Proposed by …………………………………….Signature ……………………………

Seconded by ……………………………………Signature …………………………..

Joining Fee 2.00: Annual Subscription; Single 4.00, Joint 6.00, Junior 2.00

Club Badge 3.50

Subscriptions due annually on 1st January: Cheques/Postal Orders made payable to:

North of Ireland West Highland White Terrier Club

Completed application form to:

Mrs Modwena Johnston, Glenveagh, 24 Corkhill Road, Seskinore, Co. Tyrone BT78 2PW Tel: 028 8284 1618 email: glenveaghwesties@aol.com