B.K.V. '94
Belgische Kattenliefhebbers Vereniging '94 vzw
Koning Albertstraat 15
B - 2610 Wilrijk
Rekeningnummer: FORTIS   BE07-001335114666

MEMBERSHIP FORM

Ledenadministratie BKV '94
Ingrid Dierckx
Lode v. Berckenlaan 365/5
B - 2140 Antwerpen
tel.: +32 (0) 3 322 66 81 - Email: ingrid.dierckx@proximus.be

Click here for the PDF file of this document. You can print it, if you desire to do so.

Your name :
Address & Nr.:
Aria code 
Location :
Country :
Tel/Fax:
E-mail:
Website:
Have you been a member of BKV'94 before?           yes no

You want to have a membership as :

 breeder   subscriber    second family member 
Remarks: 

How many cats do you have?:
Shorthair cats
Semi longhair cats
Longhair cats
Non pedigree cats
Do you breed with these cats?    yes no
If yes, which breed(s)?
Do you have a cattery name?     yes no

If no, 
please fill in your three preferences, 
if you like to register a cattery name
If yes, What is your cattery name?
With which club was this registered?
Would you like to transfer it, 
free of charge, to BKV'94? 		   yes no
Are you a member of an other club?
If yes, which one?
Who gave you the idea to join BKV '94?
Date