Print & complete this membership form. Post to
Ms June Wall
Secretary
Gernonstown
Slane
Co Meath
Name: ________________________________________
(If Family membership list up to 3 members of the same family)
Address: _____________________________________
______________________________________________
Telephone: ___________________________________
Email: _______________________________________
Number of Rottweilers: __________________________
Breeders Name: ______________________________
(if available)
Other Breeds: ___________________________________
Proposed by____________________
Seconded by _______________
Note: Club membership is on a calender year basis which begins/ends in October.
New Members: Please do not include payment with your application as new members must be approved by the Committee before membership will be confirmed, your membership fee will be requested in due course
Membership renewals: Please include payment with your application form.
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