LTC - Membership Application Form

MEMBERSHIP APPLICATION

The Lucas Terrier Club (LTC) is an informally run private organisation developed for the purposes of preserving and promoting the Lucas Terrier and to offer assistance to breeders in sourcing registered Lucas Terriers or dogs of parent breeds for the continuance of the breed. The Club holds and maintains a register of Lucas Terriers from LTC registered parents or bred from acceptable stock (namely from Kennel Club registered Norfolk Terriers and Sealyham Terriers only).

The Officers of the Club reserve the right to accept or refuse any applicant’s request for membership of the Lucas Terrier Club (any payment made will be returned).

Title:
First Name:
Surname:
Address:


County:
Country:
Post Code:
Telephone:
Mobile:
Email:	(essential)

Current ownership of a Club-registered Lucas Terrier is mandatory for new members

Lucas Terrier Registered Name:
Breeder's Name:

Please pay the annual membership fee by one of the following methods (preferably by standing order):

Standing Order	Set up an annual payment of £20.
Bank Transfer	Barclays Bank Plc, Bath Milsom Street, Leicester, LE87 2BB
	Account Name: Lucas Terrier Club
	Sort Code: 20-05-06
	Account Number: 73533379
	Reference: Your name and initials (This is very important for traceability).
	IBAN:GB26 BUKB 2005 0673 5333 79
	SWIFTBIC:BARCGB22


Date Paid:

Please read the Club's Terms & Conditions, and our Privacy Policy and then confirm your acceptance: