LTC - Membership Renewal Form

MEMBERSHIP APPLICATION/RENEWAL

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 of £20 by one of the following methods (preferably by standing order):

Standing Order	Set up a payment of £20 now and subsequently £20 on the 1st September annually (for the subsequent calendar year).
Bank Transfer	See account details below
Cheque	Payable to 'Lucas Terrier Club' and posted to: Lucas Terrier Club, Havelock Bungalows, Roskear, Camborne, Cornwall, TR14 8DN.
PayPal	Please only use this if you do NOT have a UK bank account. Month of Joining

Date Paid:
Bank Account
Barclays Bank Plc	3 St John's Street, Devizes, Wiltshire, SN10 1BQ
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:	GB17BARC20050673533379
BIC:	BARCGB22

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