{\rtf1\ansi\ansicpg1252\deff0\deflang2057{\fonttbl{\f0\fswiss\fcharset0 Arial;}{\f1\fswiss\fprq2\fcharset0 Arial;}} {\stylesheet{ Normal;}{\s1 heading 1;}{\s2 heading 2;}{\s3 heading 3;}} \viewkind4\uc1\pard\b\f0\fs40 The Fox Terrier Club\b0 \fs24\par \fs28 Treasurer: Joanna Darby\par The Grange\par Clifton Road\par Netherseal\par Derbyshire\par DE12 8BX\par UK\par Tel: +44 (0)1827 373278\par \pard\qc\b\f1\fs40 Application for Membership\par \pard\keepn\s3\b0\fs28\par \fs24 Name & Title: _______________________________________\par \pard\par \par \pard\keepn\s3\sl360\slmult1 Address: ____________________________________________________\par \pard\sl360\slmult1 ______________________________________________________________\par ______________________________________________________________\par ______________________________________________________________\par Post Code: ______________________________ \par Country: _______________________________ \par \par Junior Member Name: _________________________________ \par Junior Member D.O.B (dd/mm/yy)_________________\par \pard\ul\par \pard\sl360\slmult1\ulnone Telephone: __________________________________________________________\par Fax: _______________________________________________________________ \par E-mail Address: _____________________________________________________ \par \pard Affix (If applicable): __________________________________________________\par \par \ul\b Annual Subscription Fees:\par \ulnone U.K. Members: \'a318. 00 \par Overseas Members: \'a320.00 or 30 Euros \b0 (cash only) \b or $40 US Dollars \b0 (cash only)\par \b Junior Members: \'a35. 00 (up to 18 years)\par \par Please post your Application to the Secretary at the address at the top of this form - enclosing a cheque or postal order payable to: The Fox Terrier Club.\par \pard\qc\par \b0 www.thefoxterrierclub.co.uk\par }