Application

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Indian Runner Duck Association: Application for Membership

Please print off this application form, 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 for the UK is £7.00 per annum. EU membership  is  £8.00 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