Border Leicester Sheep Breeders

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'New Member' Application Form

Fields with * are compulsory

*Membership Type Required :

*Title :
*First Name :	For joint members, enter both names
*Surname :	For joint members, enter both surnames, if different
*Address :
*



*Post Code :
*Telephone no :
Mobile :
*Email :
Holding no :
Ministry Herd/Flock Tag Number :
Choose Prefix :
Date of Birth (if under 18):
Notes (max 300 characters) :

Data Protection Options

Please select the level of information you wish to appear in the on-line PedeWeb registry	Include everything
	Basic Info Only
	N/A, Prefix,Region
	N/A, Prefix, Region, Email
	Not Postal Address
	Not Post Or Phone
	All But Mobile
	Exclude everything

I/We agree to abide by the rules, regulations and codes of conduct of the Society.

Your application will be submitted to the Breed Society for processing.
A new member pack will be sent out in the coming week