AGV MEMBERSHIP APPLICATION FORM
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:
Stewart Donald, Hon. Secretary AGV, Longman House, 28 Longman Road, Inverness IV1 1SF. 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:
Fred Landeg, Hon. Treasurer AGV, 6 Oak Tree Copse, Tilehurst, Reading, Berkshire
RG31 6PX
Proposed by: ........................................................................................... MRCVS
Seconded by: .......................................................................................... MRCVS
THE ABOVE DETAILS WILL ONLY BE DISCLOSED TO AGV COUNCIL MEMBERS