Online Membership Application

Title *

Name *

First

Last

Email *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Type of Membership *

Please state the type of Club Membership you are applying for

to Name Type

Name

First

Last

If you are applying for a Joint Membership please state the name of the additional applicant

Your interest(s) in Fauves *

Please provide any additional information you feel is relevant to your application

Single Membership £10

Joint Membership £12 (for two people living at the same address)

Single Membership £12

Joint Membership £14 (for two people living at the same address)

For Bank Transfers:
The Basset Fauve de Bretagne Club
Account Number 18 80 44 38
Sort Code 60-12-01

For PayPal:
[email protected]

Remember to include your Name & Payment Type (e.g. Membership) as the pay reference.

If you prefer to send your annual membership fee by post please contact the Membership Secretary to arrange this.