IRISH SHORTHORN SOCIETY LTD., Templemore Road, Thurles, Co. Tipperary
Application for Ordinary Share/s
Annual Membership and Herd Prefix
(PLEASE PRINT IN BLOCK LETTERS)

NAME ____________________________________________
ADDRESS _________________________________________
__________________________________________________
__________________________________________________
__________________________________________________

TELEPHONE MOBILE _______________________________

DAFRD HERD NO. __________________________________
HERD IDENTIFICATION NO. _________________________

PLEASE NOTE THAT NAME AND ADDRESS AT ABOVE MUST BE THE SAME AS THAT USED FOR HERD NUMBER FOR DEPARTMENT OF AGRICULTURE & FOOD

Shareholding applied for: Ordinary one euro Share(s) in above society

Herd Prefix (name) preference:

1) _____________________________________________ 2) _______________________________________

I hereby notify Council of the above society that I wish to become a member and shareholder of the Irish Shorthorn Society Ltd. and accordingly make this my formal application.

I agree to make all relative payments required by the Rules of the Society and otherwise to be bound there by.

Signature of applicant: __________________________________
Occupation: ___________________________________________

Date: _____________________________________
Address: ____________________________________________
___________________________________________________
___________________________________________________

Witness: _________________________________________________

New Members €70, thereafter Annual Membership €58