Application for membership

Please complete the form below in full to apply to join the Companion Dog Club.
There is a £12 charge for joining the Companion Dog Club.

Completing the form

* Indicates required fields
Numbers after boxes indicate maximum number of characters

Dog Details

Name*
35

Sex
Male Female

Breed
24 Colour*
24

Date(dd/mm/yyyy) or Year of Birth
Date Kennel Club Registration Number
11 Microchip Number
24

Owner/Keeper Details Full Name*
35

Address 1*
50 Address 2
50 Address 3
50 Town*
35 County/State
35 Postcode*
12 Country *

Daytime Telephone
50 Evening Telephone
50 Email
50

Where did you find out about the Companion Dog Club?

Other
40

If the Companion Dog Club has been recommended to you by a friend
who is already a CDC Member please enter their name below
so you both can receive a free gift! 50

Your name and address will be retained by the Kennel Club for the purposes of its records, who might from time to time wish to send you other information involving related Kennel Club products, either available from the Kennel Club or its marketing partners, which may be of interest to you.
If you wish to receive any information please tick this box

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