IRISH WOLFHOUND SOCIETY OF IRELAND ::  Cumann na bhFaolchú in Éirinn 
                                                        Membership Application

(Please complete in block capitals and return to Members Secretary:
Paula Cozens, Members Secretary, IWSOI, Ballyadeen Cottage, Castletownroche, Co. Cork, Ireland.)

Please send email to the  Members Secretary should you have any questions.

Name: ___________________________________________________________________________

Address: _________________________________________________________________________

             _________________________________________________________________________

County: ____________________ Country ______________________________________________

Email address: ____________________________________________________________________

Telephone: Home: __________________________________Mobile: _______________________
     
Do you own an Irish Wolfhound? Yes _____ No _____

If yes, please list the (registered) name (s) of your dog (s) below:

1. _______________________________________________________ 

2. _______________________________________________________
I hereby wish to apply for membership of the Irish Wolfhound Society of Ireland and agree
to abide by the rules of the Irish Kennel Club and those of the Society at all times.
Membership begins on the date of application and continues for one full calendar year until renewal.

 Signed: __________________________________________________

Date: ____________________________________________________

Proposed by: _____________________________________________

Seconded by: _____________________________________________

 Scale of Fees per annum:
 Single Ireland: EUR 15.00 Europe(Continental) EUR 20.00 UK GBP 15.00 USD 25.00
 Dual Ireland:   EUR 25.00  Europe(Continental) EUR 30.00 UK GBP 25.00 USD 40.00
 Junior (under 18 years)  EUR 5.00
Contributions to the Society will be gratefully received and acknowledged.  Amount ____________
Please enclose your cheque with this Membership Application; a receipt will be returned to you.
Thank you for your consideration  :: Welcome to the Society.

For office use only:    Accepted on: ____________________________