Form of Application for

ENTRANCE AND MEMBERSHIP

I/We* wish to become a Life/Joint/Adult/Junior/Senior Citizen member of the NORTHERN COUNTIES CAT CLUB

I/We when elected agree to observe its rules and promote its interests to the best of my/our ability. I enclose a cheque/P.O.* for my/our* subscription amounting to £ ........................ (* delete accordingly)
Please type or write in block capitals

Surname .......................................................................... Mr/Mrs/Miss/Title

First Name(s) ................................................................................................

Address .........................................................................................................

.......................................................................................................................

.......................................................................................................................

Tel No. ..........................................................................................................

Breed(s) of cats owned .................................................................................

Signature ......................................................... Date ....................................

Signature of proposer ...................................................................................

Signature of seconder ...................................................................................
Prospective members must be sponsored by two existing club members. New applications will be considered by the Committee at their next meeting, pending which all subscriptions will be held in trust. The Committee reserve the right to refuse membership without statement.

Please return this form together with your remittance to the Hon. Secretary.

DATA PROTECTION: The Membership database is registered under the Data Protection Act and the information is used for administrative purposes and production of address labels for NCCC mailings only. Submission of a completed application form implies that you have no objection to this information being kept by the NCCC.
1