Membership Form President: Mrs Betty Ellis Name: Address: Postcode: Telephone/Mobile no: Email address: Membership details (please tick the appropriate box) Membership Details (please tick the appropriate box) Full Member @ £10/year Associate Member @ £5/yr Junior Member – FOC to 25 I agree to pay a one-off registration fee of £3, with an annual subscription of £___________. I will conform to the Rules and Regulations of the Association, until I retire from it by giving three months notice, in writing, to the Secretary, to expire prior to the 1st January in each year. NB – Associate membership is for non-breeders who are interested in the breed, but are not entitled to vote. Signed by Applicant: Signed by Proposer: Date: The proposer MUST be a current full member of the Association Please return the form to the NEHBA Secretary: Mrs Jackie Cooper, 24 Jubilee Road, Walmer Bridge, Preston, PR4 5QY.