Join The Society Membership Application Form NameTitleFirstLast Business Name ( optional) Address Street Address Street Address Line 2 City State / Province / Region Postal / Zip Code AfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCongo (Brazzaville)Costa RicaCote d'IvoireCroatiaCubaCuracaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorth MacedoniaNorwayOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamWalesYemenZambiaZimbabwe Country Ministry Herd Mark Tel: (Home) Tel: (Business) Contact Name (1) Mobile Contact Name (2) Mobile(2) Contact Name (3) Mobile(3) Email (correspondence) Email (invoices) Optional - if you would like to receive our invoices by email. Date of Birth (if under 18 years) 01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 20222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year VAT Reg. No. If herd is in a Cattle Health scheme – Name of Scheme Provider and your membership number If herd is in an Organic scheme – Name of Scheme Provider and your membership number Herd namesEach herd name is exclusive to your membership. You cannot choose a name that someone else is already using, Herd names can be shared in a family if permission is given from the holder of the original copyright.Your herd name should ideally be local to you and we prefer only one word but we may allow two .We will not allow herd names that are already used by another business or product – for example we would not allow GLENCAIRN because that is already used by a crystal company. Each herd name chosen will go before the following Council meeting for formal approval. Colours should be avoided as should geographical place names/regions unless it is the name of the farm.Herd Name Copyright (if applicable) is £ 10.00 £ 2.00 VATPlease choose three Herd Name options in case your first choose is unavailable. Herd Name option 1 Herd Name option 2 Herd Name option 3 Membership Subscriptions: Type of Membership Annual Membership £ 33.60 (inc. £ 3.60 VAT)Annual – Junior (under 18 years) £ 15.00 (inc. £ 0.51 VAT)Life Membership £840.00 (inc. £90.00 VAT) Please pick YES if you wish to authorise your contact and animal details appearing on the Society’s online member database. Should you wish to opt out, please pick NO. However, anyone wishing to contact you or trace any of your animals via the database (e.g. for the beef schemes) will not be able to do so. YesNo SubmitReset
