First Name *Last Name *Address Postcode *Telephone Mobile Email *Kennel Name (if applicable) Pet Name, colour(s) and size Insert an image of your dog Drop your file here or click here to upload Annual Subscription Single - £ 6.00Joint - £ 8.00Please click on the button to choose your subscription. Subscription is for one year from receipt of the initial membership subscription and is due annually on the anniversary of this date. Subsequent payments will be collected automatically until the membership is cancelled.Payment Method Paypal (you will be taken to your PayPal account after you submit the form)Debit/Credit CardBACSCredit Card BACS Details *I agree to pay by BACS. The details are belowName: The Parti Poodle Club Sort Code: 30:18:88 Account: 01901051Checkboxes *AgreementAs members we undertake to abide by the Rules of the Club and adhere to the Club's Code of Ethics which I/we have read and understoodDate *WebsiteSubmit
