Online Membership Application Form | The Midland & Northe

Midland & Northern Counties French Bulldog Club

Membership Application

Please complete and submit this form online, then proceed to our Membership payment page

Full Name

For Joint Membership ONLY Additional Name

Address and Post Code

Phone

Names of Proposer & Seconder

The Proposer and Seconder must be fully paid-up members of the Midland & Northern Counties French Bulldog Club . If you do not have a Proposer and Seconder, then your application will be considered by the committee at the next available meeting. To assist the committee, please add below a brief introduction about yourself and any information you think may be relevant to your application

A few words about yourself which you feel might be relevant to your application

I/We understand that my/our name & address details are held on a computer in the sole care of the Membership Secretary, that they are printed onto a membership list for use within the M&NCFBC & The Kennel Club but will not be released to outside agencies. To comply with the Data Protection Act, the M&NCFBC must ask if you object that your details are disclosed within the club. In printing your name below and submitting this form I/we declare that I/we have no objection and that I/we have read, and will abide by the rules & regulations of the M&NCFBC

Enter your name here which is taken as your agreement to the above

Date of application

Midland & Northern Counties French Bulldog Club

Membership Application

Please complete and submit this form online, then proceed to our Membership payment page

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