I/We wish to apply for membership of the South Wales Scottish Terrier Club.

Name/s:-.................................................................

Address:-..............................................................

Email:-.................................................................

Tel No:-................................................................

Web Address:-.....................................................

I/We wish to apply for single/joint membership at a cost of:-

Adult Single £4.00

Adult Joint £5.00

Junior (Under 16) £2.00

Overseas Single/Joint £5.00

Background/About Yourself:-  (Up to 40 Words)

If My/Our Membership is accepted, I/We wish to include our web site link on the SWSTC Web site link page.  Yes/No (delete which is applicable).

I/We wish to be included in the SWSTC Web Page Members Commingle   (please enclose hard copy or CD ROM).  Yes/No (delete which is applicable).

I/We wish to select the Bronze: £5.00, Silver £10.00 or Gold £15.00, (please choose your template from the details listed click here

Please forward your remittance to the SWSTC Hon. Secretary Miss E J Bradley.  Cheques payable to the 'SWSTC'.  Overseas members, please send cheques drawn on a British bank or an International Money Order for £ sterling made out to SWSTC.

Application subject to committee approval.