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Membership renewal/application form
SOUTH WESTERN
ROTTWEILER ASSOCIATION
Membership Application
*Membership renewals are due 01st January each year.
Name: _______________________________________________________________
Address: _______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Telephone: _______________________________________________________________
Email: _______________________________________________________________
• In the event of the SWRA supporting an Open show, the SWRA may pass on your address to that Canine Society. If you do not wish your details to be passed on, please tick here □
• I/We agree to my details being held on a database □
• I/We agree to abide by the Rules of the Association □
This is a Renewal □ This is a New Application □
Signed: _______________________________________________________________
* A Proposer and Seconder are required for NEW APPLICATIONS ONLY
Proposer’s Name: ______________________ Signature: ________________________
Seconder’s Name: ______________________ Signature: ________________________
The subscription for members joining after 01st November will be at a reduced rate for the remainder of the calendar year, and the whole of the following year.
Annual Subscription for 2022: Single: £10.00 a year Joint (same household) £12.00 a year
Please complete this and the Standing Order Mandate and send them to Nicola Marker, Trefor Cottage, Shute Lane, Pensilva, LISKEARD PL14 5QD. If you would rather pay by Cheque, they should be made payable to “SWRA”.