| Please print this page, fill in the form and post it to the address on the form. |
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| HOLCC MEMBERSHIP APPLICATION FORM |
| NAME: |
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| ADDRESS: |
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| Telephone Number: |
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| Email: |
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| Prefix: |
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| PROPOSER (Club Member or Vet. Surgeon): |
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| SUBSCRIPTIONS:- Payable on January 1 each year |
| Adult Joining Fee (Payable once only): |
£1.00 |
| Junior Joining Fee (as above): |
£0.50 |
| Single Subscription: |
£6.00 |
| Joint Subscription: |
£8.50 |
| Junior Subscription: |
£2.00 |
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| Also available: |
| Club Badge: |
£3.00 each |
| Leaflets: |
£0.20 each |
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| Havana & Oriental Lilac Cats: History of the Breeds and Club: Standard of Points |
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Please make cheques or postal orders payable to: HAVANA & ORIENTAL LILAC CAT CLUB and send them with your application to: Mrs Karen Roberts, 16 Jacomb Road, Lower Broadheath, Worcester WR2 6QW. |
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| Prices correct as at: 14th March 2004 |
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