Secretary Miss Myrna J Corrie Parklea, Tongland Kirkcudbright DG6 4ND Tel: 01557 820218

THE BELTED GALLOWAY CATTLE SOCIETY

MEMBERSHIP APPLICATION FORM

Life Membership - £400 .............................................................. [ ] Please

Annual Membership - £30 ........................................................... [ ] tick

Associate Annual Membership - £20 .......................................... [ ] as

Herd Prefix - £5 ........................................................................... [ ] required

Please Print

Name ...........................................................................

Address .....................................................................................................

.....................................................................................................

.....................................................................................................

Post Code ............................... Telephone No .............................................

Email address .............................................................................................................

Herd Prefix (One word) .................................. Ministry Herd No .......................

Signature ....................................................... Date ................................

Full Membership is necessary for those wishing to register cattle and Associate

Membership may be taken by anyone else.

PAYMENT MAY BE ENCLOSED OR MADE BY STANDING ORDER.