Membership Application

Name: MrMrsMissMs

Forename:

Surname:

Address:

Name/No.

Street:

District:

 

Town:

County:

Postcode:

Phone: Email:

Colours Kept:

(please tick all boxes of colours kept)
 

1. Black L B 2. Blue L B 3. Brown L B 4. Buff L B
5. Cuckoo L B 6. Golden Duckwing L B 7. Silver Duckwing L B 8. Exchequer L B
9. Mottled L B 10. Partridge L B 11. Pyle L B 12. White L B
13. Lavender L B 14. Columbian L B 15. Blue/Red L B 16. Red L B
Would you like to be listed on our breeders register for the sale of your surplus stock?
Subscriptions: 7 pa. Date:  -- / -- / 20-- Signed: ___________________________

To join: contact P Hallum on  01566 780304
and send details with cheque to:

Thorn Cross Farm,    Thorn Moor, Lifton, Devon, PL15 9SN

 

Please make cheques payable to  The Leghorn Club
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