STANDING ORDER FORM
If you wish to become an Association member please print out
The Standing Order Form below.

Additional Information Required:


Name (& Title): _________________________________________________

Address:            _________________________________________________

______________________________________________________________

 _________________________________Post Code:__________________________

Telephone Number/s:______________________________________________

Fax / Other:_____________________________________________________

Email address:____________________________________________________

Your Dog(s) Name(s) ______________________________________________

Breed (if known) __________________________________________________

Approx Age (if known) ____________   If a Rescue dog(s) : MBF ____ Other ____

 Training Class (if applies)        ________________day ____________ time

How or where did you come across Man's Best Friend:______________________

In order to comply with the Data Protection Act, we need your signed agreement as follows:
I am willing for the above details to be entered on MBF's computer as a database &
for use when distributing newsletters and other information.
Thank you

Signature ________________________________ Date _________________
 

please return the completed form to:

Man's Best Friend Rescue & Training Association
19 Staverton Crescent
Lincoln
LN6 0YW

Please Allow 28 Days For Your Membership Card & Newsletter To Arrive.