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 2017 Membership
OR
*I enclose a cheque for 10.00 made out to The Goose Club for 2017 Membership plus Journals for 2016

OR
*I enclose a cheque for 14.00 made out to The Goose Club for 2017 and 2018 Membership plus Journals for 2016
*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.