NEW/RENEWAL MEMBERSHIP APPLICATION FORM
Membership Secretary
Mrs Caralyn Gretton 58 Godnow Rd, Crowle, Scunthorpe, Nth Lincs DN174EE. Tel: 01724 710265. Mob: 07915 909366. E-Mail Address: dukeriesclub@aol.com Dukeries web site: www.dukeriesnottsgundogclub.co.uk
Subscription Agreement
I/We wish to apply for membership of the Dukeries (Notts) Gundog Club and agree to abide by the Rules of the Club as published on the web link http://www.dukeriesnottsgundogclub.co.uk/Club%20Rules%202020.pdf . If dogs are jointly registered with The Kennel Club both owners must be Members of the Club (Joint/Single). I/We will pay the annual subscription of £10.00 for the current year together with a joining fee of £20.00 and then £10.00 each year following until further notice by Bank Transfer or Standing Order to TSB Sort Code 777170 Account 00008131 . Should future subscription payments not be paid by 31st March each year, then I understand a re-joining fee of £20 becomes due. All lapsed membership fees will result in the re-joining fee being applied.
Type of Application
*
Please Select
New Membership Application £30 Single £32 Joint
Lapsed Membership Application £30 Single £32 Joint
Annual Renewal Application £10 Single Joint £12
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Mobile Number
*
Please enter a valid phone number.
Members Gundog Interest
*
RETRIEVERS
SPANIELS
HPR's
SETTERS & POINTERS
SHOW
WORKING TESTS
FIELD TRIALS
Proposer
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Seconder
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
GENERAL DATA PROTECTION REGULATION 2018
Members details will be fairly and lawfully processed in order to satisfy the agreement entered into with you on your admittance to the membership of the Dukeries (Notts)Gundog Club. This will ensure that you receive the latest news and information about the Club and any upcoming events. Members details will be passed to other Club Officers to administer communications including information about any upcoming events/items of legitimate interest. Members details will be kept safely and securely. In addition members have the ability to opt out of the Club’s communications or can restrict the private data retained at any time. In compliance with the General Data Protection Regulation 2018 your formal consent or otherwise is required and please would you indicate below.
Dukeries GDPR Policy
*
Please Select
Accept
Reject
By Rejecting our GDPR Policy you will not receive any communication via post, email or mobile device.
Applicant Signatures
*
Payment Options
You now have several payment options please read ALL the options before indicating how your going to pay
PAYMENTS via PAYPAL The club incurs charges when using PayPal, hence the need levy a small transaction charge.
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PayPal New Single Membership & Joining Fee
£
32.00
one-time payment
PayPal New Joint Membership & joining Fee
£
34.00
one-time payment
PayPal Renewal of Single Member Subscription
£
11.00
one-time payment
PayPal Renewal of Joint Member Subscription
£
13.00
one-time payment
PAYMENTS will be accepted via Bank Transfer to TSB Bank 777170 00008131 (ref SURNAME2024) Single £30 Joint £32 INTERNATIONAL PAYMENTS IBAN number GB79TSBS77717000008131 BIC number TSBSGB2AXXX (ref SURNAME/YEAR) Single £30 Joint £32PAYMENTS The Club Officers DO NOT have access to Online Banking this causes a delay in collating membership and payment data, this is why we ask for confirmation of payment via separate email, that payment has been made via bank transfer, ideally a screen shot of the payment would suffice. ALL MEMBERSHIP RENEWALS should ideally be done via bank Standing Orders or Bank Transfer.
Bank Transfer Single Membership Application & Joining Fee £30
Bank Transfer Joint Membership Application & Joining Fee £32
Bank Transfer Single Annual Renewal Fee £10
Bank Transfer Joint Annual Renewal Fee £12
PAYMENTS will be accepted by Cheque made payable to Dukeries (Notts) Gundog Club (Please print this form and write SURNAME/YEAR on the back of the Cheque and post to Membership Secretary
Payment made by Cheque
PAYMENTS will be accepted via www.paypal.me/Dukeriesgundogclub.Single £32, Joint £34 (SURNAME/YEAR)
Payment made via Paypal.me/Dukeriesgundogclub
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