Application for membership of The Utonagan Society

Application for Membership of the Society

Please complete this application form so that you may be considered for membership to the Utonagan Society.

Please send this form and then make your payment from the following page, whereby we will duly consider your application and advise you accordingly.

Fees are £10 per household/family, payable on application to join The Utonagan Society.

I/We would like to join The Utonagan Society. I/We have read and agree to abide by the society’s constitution, if accepted, and await verification of my/our acceptance.

Personal Information Name(s)
Address
Telephone number
Mobile number
Email address

Utonagan Information Name of Utonagan owned
Affix to be used with the society for the registering of any potential puppies (only for use if you intend to breed)

Proposal of Membership

Proposer must be a fully paid up member of the society. Usually your breeder or the person who directed you to this form will be the proposer.

Proposer’s Name
Proposer’s telephone number or email address (for confirmation of proposal)
Seconded by

Social Opportunities I/we would like my/our details to be shared with other members local to us for the purpose of meeting up and socialising our dogs.
Yes No

Payment Method I/We will be paying by … PayPal Cheque

Security test. Please identify the pictures:

Alternative Methods of Applying

If you prefer not to send your form online, please download and print out the form below, fill it in and post to the address given :

Membership Application Form

For further assistance, contact: TUS Registrations Secretary