APPLICATION FOR MEMBERSHIP CHRISTIAN NAME: SURNAME: ADDRESS: Mobile no Tel No: Email (if available) HERD NUMBER: I hereby apply for membership to the Irish Piemontese Cattle Society Ltd., and agree to abide by all their rules and conditions. Signature………………………………… Date……………………………….. PREFIX REGISTRATION. I wish to use the Name____________________ as my herd prefix and enclose payment of €65-00 to cover Entrance Fee, Prefix Registration, and Yearly Membership up to 31st December 2014 Please return membership form with a cheque for membership of €65 to Irish Piemontese Cattle Society, c/o Mairead Eachthigheirn, The Bungalow, Clogga, Mooncoin, Co Kilkenny. Membership fees: €65 for new member, €50 annual membership