Membershipform / Lidmaatschap / Diensten

* Mandatory field

Date of entry membership *

First name *

Initials *

Last name *

Date of birth *

Adress *

ZippCode/Residence *

Phone incl. international calling code *

E-mailaccount *

Invited by

Have been a member before *

Yes
No

Do you have a registrated stablename *

Yes
No

If yes, what name

A continuous authorisation is used to pay the contribution.

I hereby authorize the Welsh Pony and Cob Association to debit the annual contribution due from his/her bank account. If the authorization is irrecoverable, an administration fee of € 10.00 will be charged.

Swift/BIC code *

IBAN bankaccount *

Name account holder *

Adress *

ZippCode/Residence *

By sending the fully completed registration form you indicate that you agree / have taken note of the following.

I know that the WPCV: has been recognised by the Dutch government as a studbook for the Welsh breed in the Netherlands;
is recognised by the Dutch government as an EU passport issuing organisation;
therefore, I do not participate in conduct and actions that may jeopardise these recognitions;
I adhere to the articles of association, codes and regulations of the WPCV.

Memberships run from the effective date until 31 December with tacit renewal for 1 year each. Cancellations must be received (preferably by e-mail) by the member administration before 1 November of the current year, in accordance with our articles of association.

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