The Hungarian Vizsla Club

Membership Application Form
Please Print
Full Name/s	…………………………………………………………….
Address		…………………………………………………………………
             	……...…………………………………………………………….
             	…………………………………………	Post Code………………
Telephone No……………………………….

Application for single membership is £8.00; Joint Membership is £10.00.  
Overseas Membership please add £2.00 surcharge: i.e., £10.00 Single & £12.00 Joint.

PROPOSER:  Name……………………………Signature……………….………………..

SECONDER: Name……………………………Signature……………………….………..

Vizslas owned (KC Registered Name/s)………………….……………..
…………………………………………………………………………………………………………………………………..Please Identify Dog/Bitch
Other Breeds Owned	……………………………………………………

I/We apply for membership of the Hungarian Vizsla Club. I/We understand the application to and membership of the Club constitutes acceptance of the Club Code of Conduct. I/We confirm that I/We received a copy of the Clubs Code of Conduct and My/Our signature(s) herewith confirms acceptance thereof.
I/We enclose Cheque /P.O. for £……., for the current year. In subsequent years, payment will be by Cheque/P.O/Standing Order (please delete as applicable).  If by Standing Order, a Mandate will be forwarded to my/our Bank.

Signed 1:……………………………………..…	2..……………………………………….

Date:	………………….					Date:	………………….

When the above sections are complete, please return this form with your accompanying cheque/Postal Order to:

Please return completed form to:   
				Membership Secretary,
				Jim NOVIS, 
				2, The Old Bakery,
				STEVINGTON, 
				BEDFORD, Beds MK43 7QH
Email: jimnovis,novapak@btinternet.com or ring him on 01234 823018