Membership Application/Renewal Form

	associated with
	Wessex Arabian Horse Group
	The Arab Horse Society

MEMBERSHIP APPLICATION/RENEWAL

Mr/Mrs/Miss First Name ____________________________ Surname _______________________

Address __________________________________________________________________________

_________________________________________________ Post Code _______________________

Email Address _____________________________________ Telephone ______________________
Please tick to indicate if Telephone is a Residential Talk Talk number: YES ___ NO ___

Subscription: (Tick one) Method of Payment:

Ordinary Member £12.00 ___ CASH ___

Family Membership £15.00 ___ CHEQUE ___

PO ___

Subscription:		(Tick one)	Method of Payment:
Ordinary Member	£12.00	___	CASH	___
Family Membership	£15.00	___	CHEQUE	___
			PO	___

Visit our web site at www.wessexahs.org.uk for further information.

Please send your payment (cheques to "Wessex AHG") together with this form to:
Mrs Gloria Ayub, Shabana Farm, Church Road, Newtown, Fareham, Hampshire PO17 6LL