THE GOOSE CLUB
APPLICATION FOR MEMBERSHIP


Name..................................................................................

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

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Postcode...................................................................

Telephone ................................................................

Email address..........................................................



Breeds, and numbers and gender of each breed of domestic geese kept at present, if any

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*I enclose a cheque for £6 made out to The Goose Club for current year's Membership. If you would like to pay by bank transfer, please contact the club.
OR
*I enclose a cheque for £10.00 made out to The Goose Club for current year's Membership plus Journals for previous year

OR
*I enclose a cheque for £14.00 made out to The Goose Club for Membership for this year and next year plus Journals for the previous year
*Delete as appropriate

European members £7.50 per year; Elsewhere £10 per year

Signature..................................................Date.................




Completed applications should be delivered to the Secretary,
Mrs D Moss, Llwyn Coed, Gelli, Clynderwen, Pembrokeshire SA66 7HW, UK.