PERSONAL IDENTIFICATION NUMBER APPLICATION FORM

BRITISH BELGIAN BLUE CATTLE SOCIETY
PERSONAL IDENTIFICATION NUMBER APPLICATION FORM (print only) Please issue a Personal Identification Number for my herd. I understand that this will give access to my pedigree records and I agree to pay any charges to my account with The British Blue Cattle Society that may result from the use of my PIN number. The Society operates a Direct Debit method of payment Do you currently use ‘Telereg’ ? YES/NO ( please delete as appropriate) I am not on Direct Debit, please forward a direct debit mandate - tick if applicable Name........................................................ Prefix............................................................... Signed....................................................... Date................................................................ ----------------------------------------------------------------------------------------------------------- Please print, complete and return to: - British Belgian Blue Cattle Society Scotsbridge House Rickmansworth Hertfordshire WD3 EBB

BRITISH BELGIAN BLUE CATTLE SOCIETY

PERSONAL IDENTIFICATION NUMBER APPLICATION FORM (print only)

Please issue a Personal Identification Number for my herd. I understand that this will give access to my pedigree records and I agree to pay any charges to my account with The British Blue Cattle Society that may result from the use of my PIN number.

The Society operates a Direct Debit method of payment

Do you currently use ‘Telereg’ ? YES/NO ( please delete as appropriate)

I am not on Direct Debit, please forward a direct debit mandate - tick if applicable

Name........................................................ Prefix...............................................................

Signed....................................................... Date................................................................

-----------------------------------------------------------------------------------------------------------

Please print, complete and return to: -

British Belgian Blue Cattle Society
Scotsbridge House
Rickmansworth
Hertfordshire
WD3 EBB