B. K. K. S. Northants  Section
Membership Renewal/Application Form for subscription year 2008/2009

Please complete the form below in BLOCK CAPITALS and bring it with you to the next meeting. This will ensure that all monies paid are more easily tracked, and avoid queries at a later date.

(* Please delete as appropriate)

*I/We wish to *continue/apply for membership of the Northants Section of the B.K.K.S.

*I/We *are/are not members of the British Koi Keepers Society.  B.K.K.S. Membership No................

*I/We agree to our details being held on the section Database. This information will not be passed on to any other organisation.

*I/We enclose the Section Membership fee of £16.00 per  household.

• The subscription is being paid by *cash/cheque.

Name(s)......................................................................................................................................

Address........................................................................................................................................................

..............................................................................................................................................................................

.................................................Post Code...............................................................................

Home Tel................................................    Mobile..................................................

Email.........................................................................................................................................

Signed...........................................................................

If renewing this form by post please send to
The Membership Secretary

Mr P. M. Verden, 51 Manor Road, Earls Barton, Northampton NN6 0HS

Dated: ....................................

Please make cheques payable to B.K.K.S Northants Section