Application

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Indian Runner Duck Association: Application for Membership
Please print off this application form, (or the pdf if easier) complete it and post (with membership fee) to The Indian Runner Duck Association, Christine Ashton  (Secretary), Red House, Hope, Welshpool, Powys 
Email enquires runnerdux@yahoo.co.uk
The Subscription 2010 for the UK is £7.00 per annum. EU membership  is  £10.00 per head. Please enquire for USA, Australia etc  

Please complete the following in block capitals.

Title: ………… (Dr, Mr, Mrs, Ms, etc.)

Surname: ……………………………………………………………………....

Forenames: …………………………………………….………………………

Full Postal Address: …………………………………………………………...

………………………………………………………………………………….

Post Code: ………………… Tel: (………....…….…) …………………….....

E-mail: (for receipt)  ……………………………………………………………

Principal interest in Runner Ducks (please tick):

 

Pets

 

Commercial

 

Exhibition

 

Eggs 

Colours of Runners kept (please tick):

 

Black

 

Chocolate

 

Blue

 

Fawn

 

Fawn & white

 

American

 

Mallard

 

Trout

 

White

 

Silver

 

Apricot Trout

 

Other

Other colours: ……………………………………………………………………………

Signature:.......................................................................................................

 


Contact the Secretary through the Application page