MEMBERSHIP APPLICATION FORM
​
Name:

Address:



Postcode:

Contact number:

Email address:

Do you already have Frizzles? (Please circle)   Y  /  N  /  Intend to
If yes, please tick whether they are large or bantam:

Bantam
Large

Please state colours:


Signed:
Date:

Annual subscription: £10.00 from Jan 1st to Dec 31st (payable by end of Jan)
Please make cheques payable to The Frizzle Society and post to:
​Alex Hales (Secretary) Green Cottage, Llanfihangel-ar-Arth, Pencader, Carmarthenshire SA39 9JX
​Or by Bank transfer - contact Alex via [email protected] for details
Many Thanks