Irish Members Form

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THE SHORTHORN SOCIETY OF THE UNITED KINGDOM
OF GREAT BRITAIN AND IRELAND
(INCORPORATED JUNE 15TH, 1875)
4th Street, Stoneleigh Park, Kenilworth, Warwickshire CV8 2LG Email: claire@shorthorn.co.uk
EIRE MEMBERSHIP FORM
NAME: ....................................................................................................................... ..MR/MRS/MISS (delete as applicable)
(block letters please)
FULL POSTAL ......................................................................................................................................................................
ADDRESS
......................................................................................................................................................................
COUNTY (in which residence is situated).................................................... TEL.NO.:......................... ................................
Mobile Tel No. ………………………………………………E Mail......................................................................................
Ministry Herd No: IE-............................................................:..................
SIGNED:....................................................................................
(Candidate)
DATE:
....................................................
ANNUAL MEMBERSHIP FEE (70 Euros) - HERD PREFIX (16 Euros)
a) CAN YOU CONFIRM IF YOU ARE A BUSINESS
YES / NO
b) ARE YOU REGISTERED FOR V.A.T.
YES / NO
IF THE ANSWER to b) IS YES Please give VAT Registration Number :
..................................................................
Or Supply business letterhead.
SIGNED:
…...............................................................................................
Please tick if you do not want your details displayed on the website
HERD PREFIX
MEMBERSHIP ENTITLES YOU TO THE EXCLUSIVE USE OF A HERD PREFIX. (Herd Name)
This is required when registering calves in Coates’s Herd Book. Please state your first and second choice.
(FIRST)
...................................................
(SECOND)
...................................................................
Your chosen Prefix will be subject to the approval of the Society’s Council
Optional - Please complete the form below so that your annual membership can be collected by standing
order from your bank.
---------------------------------------------------------------------------------------------STANDING ORDER FORM
Name of your Bank:
Address:
Please pay
The Sum of
---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------The Shorthorn Society of Great Britain and Ireland.
Ulster Bank .P.O. Box 145, 33 College Green, Dublin 2
Sorting Code 98-50-10 Account No 09832254
70 Euros. Now and on the 1st of January in each year until further notice.
Name of Account holder: -------------------------------------------------------------------------------------Membership no: (to be completed by the Shorthorn Society)---------------------------------Account No:
-------------------------------------------------------------------------------------
Signature of Account holder: -------------------------------------------------------------------------------------------
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