The Pekingese Club
Overseas Membership Application

Annual subscription £28 (includes Year Book and postage)

Entrance fee £2

All monies to be paid in sterling only

Name of applicant……………………………………………

Address………………………………………………………..

……………………………………………………………….....

Country………………………………………………………...

Telephone………………………Fax………………………....

E-mail address………………………………………………....

Registered affix (if applicable)…………………………........

I would like to become a member of the Pekingese Club of the

United Kingdom and request that my application be submitted

to the Committee.

Signature……………………………………………………...

Proposed by…………………………………………………..

Address………………………………………………………..

……………………………………………………………….....

Seconded by………………………………………………......

Address………………………………………………………...

……………………………………………………………….....

Please forward the completed form with the appropriate fee to:

The Overseas Secretary

Mrs. Daphne Lee
91a West Street
Oldland Common
Bristol BS15 6QR
England

Telephone: 01179 328826   Fax: 01179 326680
E-mail: daffyanddon@btinternet.com



BACK TO FORMS PAGE