THE SCOTTISH SHETLAND SHEEPDOG CLUB

Date of Application for Membership…………………….........

Acting Secretary:-

Mrs. A.B.A Wyse
Rivvalee, 2 Maryfield Gardens, Leslie,
Glenrothies, Fife, KY6 3JT

Membership Fees:- Joint......£4.50 Single......£3.00 Juniors......£2.00 Senior Joint......£2.50 Senior Single......£2.00

I/We wish to apply for Membership of the Scottish Shetland Sheepdog Club. I/We understand applicants
must be proposed and seconded by fully paid up Members of the Club and approved by the Committee.

Name of Applicant(s)	………………………………………………………………................................(Please print)
Signature	……………………………………………………………………..........................
Address and Postcode	……………………………………………………………………..........................
Prefix / Affix	……………………………………………………………………..........................

Proposer	………………………………………………………………................................(Please print)
Signature	……………………………………………………………………..........................
Address and Postcode	……………………………………………………………………..........................
Prefix / Affix	……………………………………………………………………..........................

Seconder	……………………………………………………………...................................(Please print)
Signature	……………………………………………………………………..........................
Address and Postcode	……………………………………………………………………..........................
Prefix / Affix	……………………………………………………………………..........................

Does the applicant/s own a Shetland Sheepdog?........ (YES / NO) Does the applicant/s own any other Breed?........ (YES / NO)

If owns another Breed please state …………………………………………………………………….

I / We agree to abide by the S.S.S.C. Rules and Constitution, if our application is approved.

Application For Membership of S.S.S.C. approved.........................................................................Club use only