APPLICATION TO JOIN
GLOUCESTERSHIRE OLD SPOTS PIG BREEDERS’ CLUB
PLEASE COMPLETE IN BLOCK CAPITALS *delete as necessary.
Title ………………………….. First Name(s)………………………………………………
Surname ………………………………………………………………………………………….
Address……………………………………………………………......
……………………………………………………………………..Postcode …………………..
Tel…………………………………….. Mobile …………………………………………………
Email ………………………………………………………………………………………………
Do you keep GOS pigs? YES/NO* If yes are they registered? YES/NO*
Are you a member of the British Pig Association YES/NO*
If you are your HDL is ………………………….
Subscription for individual members with pigs £20.00, Family/joint members with pigs £25.00, Associate members without pigs £15.00 and Overseas membership £25.00 (Take newsletter by email & tick here …… to deduct £5)
I/We apply to join the Gloucestershire Old Spots Pig Breeders’ Club and enclose a cheque made payable to GOSPBC for £25.00/£20.00/£15.00/£10.00* being the subscription until 1st November next.
Signed ……………………………………….. Date ……………………………………
If you wish to pay by standing order please complete the attached standing order form and take it to your bank to action.
If you are joining the club as a pig keeping member and you do not wish your
details to be given out to enquirers looking for pigs or placed on the website please tick the box.
Return this form to: GOSPBC c/o Fowgill Farm, Ingleby Arncliffe, Northallerton, DL6 3JU
GOSPBC SUBSCRIPTION STANDING ORDER FORM
PLEASE COMPLETE IN BLOCK CAPITALS
To the Manager………………………………………………………..Bank Plc
Address …………………………………………………………………………………...
…………………………………………………………Postcode ………………………
Please pay the sum of *£25.00/£20.00/£15.00/£10.00 now & then annually on the 1st November until further notice quoting ref GOS Subs/………………# from my account no ……………………………. Sort code……………………. In the name of ………………………………………………………………….to the Gloucestershire Old Spots Pig Breeders Club c/o HSBC, 2 Market Place, Cirencester, Gloucestershire GL7 2NS Sort code 40-17-25 Ac No 81164406
Signed ………………………………………. Date ………………………………
*delete as applicable
# put your surname PLEASE TAKE/SEND THIS FORM TO YOUR BANK THANK YOU
Gloucestershire Old Spots Pig Breeders’ Club
C/o Fowgill Farm
Ingleby Arncliffe
Northallerton
North Yorkshire
DL6 3JU
Tel 01609882773/07979858757
Membership/Subscription Contact Mandy Garbutt