AGV Membership application form - download

SURNAME: .......................................................................................................

FORENAME: .....................................................................................................

TITLE: ................................................................................................................

DATE OF BIRTH: ..............................................................................................

GRADE: ...................................................................................................

DIVISION / AGENCY : ..........................................................................................

LOCATION: .......................................................................................................

BVA MEMBER ? YES / NO*

I wish to apply for full / associate * membership of AGV. ( Full membership is only available to members of BVA ).

Signature: ............................................................................... MRCVS

* Delete as appropriate

Please complete, print and send this form, together with the Bankers Order (on the following page) to:

Aiden Foster, Hon. Secretary AGV, AHVLA Shrewsbury, Kendal Road, Shrewsbury, Shropshire, SY1 4HD.

Please ignore proposer/seconder as this will be addressed by Council.

The completed forms will then be forwarded by the Secretary, after membership has been approved, to:

Trish Logie, Hon. Treasurer AGV

Proposed by:

..............................................................................MRCVS

Seconded by:

..............................................................................MRCVS

THE ABOVE DETAILS WILL ONLY BE DISCLOSED TO AGV COUNCIL MEMBERS