Membership Form
Application for membership of Southern Counties Canine Association


Annual subscription

£4.00 Single - £5.00 Joint


PLEASE PRINT THIS FORM AND SEND TO:


The Secretary, Angela Cavill, Kingston House, Hilperton Road Trowbridge, Wiltshire BA14 7JB. Tel: 01225 690 042

*I/we wish to become a member/s of SCCA

*I/we wish to renew my/our membership of SCCA

and enclose £.......... as my/our subscription    *Delete as applicable


Name/s.........................................................................................


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


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Breed..................................................... Affix...............................


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