Membership 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 have read and agree to abide by the Rules of the Association □

Signed: _______________________________________________________________

A Proposer and Seconder are required for NEW APPLICATIONS ONLY.

Proposer’s Name: ______________________ Signature: ________________________

Seconder’s Name: ______________________ Signature: ________________________

Remaining Subscription for 2024: Single: £10.00 a year  Joint (same household) £12.00 a year

Annual Subscription for 2025: Single: £10.00 a year  Joint (same household) £12.00 a year

Please complete this and the Standing Order Mandate and send them to Bev Hucker 9 Cheshire Close, Yate Bristol, BS375TQ. If you would rather pay by Cheque, they should be made payable to “SWRA”.