Title (required)

First Name (required)

Last Name (required)

Additional members details (full name/s)

Your Email (required)

Telephone numbers

Address

Using Gift Aid means that for every £1 you give, we can get an extra 28p from the Inland Revenue.*

Yes to Gift AidNo to Gift Aid

I would like to apply for

Single Membership £25Joint Membership £35Junior Membership £15

Plus

One off Joining Fee of £25

Enter total amount (£25 Joining Fee plus Membership/s annual cost - Junior £40| Single £50 | Joint £60)

Paying by cheque

To pay please send a cheque payable to 'Dartmoor Sheep Breeders Association' to
Ann Willcocks, Acting Secretary, Meads Farm, Harford, Ivybridge, Devon PL21 0JQ

Paying by BACS*

Dartmoor Sheep Breeders Association.
Account no: 01831195 Sort Code: 30-96-06.

* Please use your surname plus 'membership' as a reference

Paying by chequePaying by BACS

Your details in the Flock Book

You must choose what information we can publish about you in the flock book

Please place a tick in the box against each item to confirm what you wish to be published;
NameAddressPhone numberMobile numberEmail address

How you would like your flock book prefix to appear?

How we correspond with you

We currently use email and mail. You must choose what information you wish to receive from the society and how we send this to you. Please choose and place a tick in the appropriate box to ‘Opt in’.

If you do not indicate your preference you won’t receive this information in future.

MembershipNewsletterOther

Membership Correspondence e.g. Flock Book, Flock Return, AGM. Membership and fees due / Other Correspondence e.g. Details of the Annual Shows and Sales

You can change your preferences at any time by letting the Secretary know in writing.

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