Midland Sealyham Terrier Club

                      Chairperson                               Secretary                          President
                            Miss C James                              Mrs Denise Bettis                          Mrs M Evans
   May Tree Cottage
Pound Lane
Rock, Nr. Kidderminster, Worcs
DY14 9RD
Tel:01299 266380
e-mail: denise@midlandsealyhamterrierclub.co.uk

MEMBERSHIP APPLICATION FORM


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ANNUAL MEMBERSHIP FEES ARE: SINGLE -£6.00      JOINT: - £8.00        OVERSEAS: - £10.00
CHEQUES PAYABLE TO: - MIDLAND SEALYHAM TERRIER CLUB

DIRECT DEBIT ETC MAY BE MADE VIA HSBC BANK, GUISEBOROUGH, CLEVELAND
A/C No 01132237   SORT CODE 40-22-27

PLEASE SEND COMPLETED FORM TO THE SECRETARY



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