British Bolognese Club Membership application form NAME__________________________________ ADDRESS________________________________ _________________________________________ POSTCODE_________________ E-MAIL___________________________ TELEPHONE___________________________

DATA PROTECTION: As per Rule 6 of the Club’s Rules in compliance with Kennel Club Regulations “The club must make a list of members and their addresses available for inspection if so requested by members of the club or by the Kennel Club”. The membership list for inspection by members, as per Kennel Club advice, would be at a mutually convenient time (ie Annual General Meeting, Special General Meetings,committee meetings ). It is a condition of membership that you consent to the publication and disclosure of the membership list as deemed appropriate by the society and in accordance with Kennel Club Regulations. Membership details will be required by the Webmaster for access to the members area on the British Bolognese Club website. All data regarding membership is kept secure by the secretary and password protected. I/we agree to abide by the British Bolognese Club’s Rules and Code of Ethics

SIGNATURE_________________________________________ DATE_____________________________________

Please indicate type of membership required: Single £6 per annum _____ Joint £10 per annum______

Please make cheques payable to The British Bolognese Club and send with this form and signed Code of Ethics (downloadable from the website) to: Honorary Secretary:Miss A Summers, Copleigh Lodge, Copleigh Drive, Kingswood KT20 6BJ About yourself – to give the committee some further information when considering your application please state below a a short resume on your involvement with Bolognese, if this is your first and how your interest in the breed evolved. Subscriptions for the Club are renewable annually on 1st January.