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COVENTRY & LEICESTER CAT CLUB

APPLICATION FOR MEMBERSHIP

C&LCC On Line

Name

Name

Address

County

Post Code

Phone

Mobile

e-mail

Prefix

I/We are interested in

Showing

Breeding

Pet owners

Fees

Single £4.00

Joint £6.00

Junior £1.00

Payment

Cheque

Paypal

Other

With Show entry

If paying by PayPal please forward a copy of your receipt with your application so that we can tie the two together.

Date

I/We agree to abide by the declaration on the previous page

Tick here if applying on line

Date

Proposed by*

Date

Seconded by*

Date

or sign .................................

* One of whom must be a current C&LCC member, or the breeder of the cat owned by the applicant(s), or alternatively a letter of introduction from your Veterinary Surgeon