Name:
..................................................................................................................................................
Address:
...................................................................................................................
.
Telephone:
..Prefix
..
..
..Date
.
...
Junior Members (must be under 16 years). Please give date of
birth
..
Proposer:
.....................................................................Signature.........................................................
Address:
.
..
Seconder:
....................................................................Signature.....................................................
Address:
(Please note: This form requires the signature of a Proposer and
a Seconder, both of whom must be fully paid up members of the Rex Cat
Association. If you do not know any members a letter of recommendation
from your Veterinary Surgeon will
be accepted.)
Signature of Veterinary Surgeon
.
Address of Practice
..
....
.
Cheques / Postal Orders to be made payable to the Rex Cat
Association. Please return your form to: Mrs. Hilary Dean, 37 Alfred
Road, Birchington-on-Sea, Kent CT7 9NJ |