Membership enrollment form for the Fell Pony Society 200 Club.

Completed form to be returned to: Mrs G Cockbain, Rakefoot Farm, Keswick, Cumbria, CA12 4TE (Promoter of the FPS 200 Club).   

Cheques made payable to The Fell Pony Society

Please enroll me as a Member of the FPS 200 Club.

Name:…………………………………………………………………………

Address:………………………………………………………………………

………………………………………………………………………………...

……………………………………………. Postcode:……………………...

Telephone No:……………………………………Date:.…………………...

I enclose my cheque in £ Sterling / international postal order for £…………………………. .
Membership costs for the 200 Club is £12 per annum per membership.

Signature:……………………………………………………………………..