Membership

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NORTH WESTERN ASSOCIATION OF THE
WELSH PONY & COB SOCIETY

REGISTERED CHARITY NUMBER: 1090453

MEMBERSHIP APPLICATION 2022

PLEASE READ CAREFULLY

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HAVE YOU CHANGED YOUR ADDRESS

YES

NO

*FULL NAME

*ADDRESS

*POST CODE

*TELEPHONE NUMBER

*Email

*CURRENT MEMBERSHIP NUMBER

NEW MEMBERSHIP OR RENEWAL

NEW MEMBERSHIP

RENEWAL

MEMBERSHIP RUNS FROM 1st JANUARY to 31st DECEMBER

SELECT A MEMBERSHIP TYPE

LIFE MEMBERSHIP - £100

SINGLE ADULT MEMBERSHIP (16+ AT 1 JANUARY) - £10

DUAL MEMBERSHIP (MUST BE LIVING AT THE SAME ADDRESS) - £15

JUNIOR MEMBERSHIP

JUNIOR MEMBERSHIP (UP TO 16YRS OF AGE AND LINKED TO A ADULT MEMBER) - FREE

NAME OF CHILD

DATE OF BIRTH

NAME OF PARENT OR GUARDIAN

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*CAN NEWS LETTERS / SCHEDULES BE SENT VIA EMAIL

YES

NO

PLEASE NOW SEND THIS FORM AND FORWARD YOUR PAYMENT
USING THE LINK TO THE PAYMENT PAGE BELOW - THANK YOU

Submit

Any questions please contact:

SARAH TATTERSALL
Tel: 07563 410950 - Email: info@nwawpcs.co.uk

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CLICK HERE TO MAKE YOUR PAYMENT
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DOWNLOAD A PRINTABLE VERSION OF THE FORM

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