Form pink 24 April 2013_form pink 24 02/04/2013 12:17 Page 1 Notes - Important 1. (a) All applications for registration are subject to approval or rejection at the sole discretion of the Irish kennel Club. (b) The Irish Kennel Club reserves to itself the right to cancel the registration of a Prefix/Affix at any time. 2. A Prefix/Affix shall consist of one word only - a hyphenated word is not permitted. 3. In order to avoid delay, up to 5 choices should be indicated overleaf. 4. Applicants may submit names of houses, townlands, small towns or villages, with which they are connected, but “ made up” words are preferable. 5. The Irish Kennel Club will not register as a Prefix/Affix an adjective or noun appropriate to a breed, the name of a county, large town or area, the name of a titled person, or, as a general rule a surname. 6. Prefix/Affix when granted cannot be used by any person other than the person or persons in whose name(s) the Prefix/Affix is, for the time being, registered. 7. If the applicant has been granted a Prefix/Affix by any other recognised Kennel Club, full particulars should be given. 8. A word when registered can be used as either a Prefix or an Affix, but applicants should note that the use of a word as a Prefix is to be preferred, as this ensures that all dogs registered in the owner’s name will then be grouped together in The Kennel Club records. 9. In the case of the registration of Prefix/Affix by members of the same family, the registration will be restricted to the joint and/or several names of the husband, wife and not more than two children - names to be specified. Applications for a Prefix/Affix in the name of more than one person (other than the foregoing) will be specially considered. 10. A Prefix/Affix, when registered, may be added to the name of a dog, which is already registered Fee €20.00. PaYmENt Annual Basis: The initial fee for registration of a Prefix/Affix, RETURN THIS FORM COMPLETED WITH THE FEE TO THE IRISH KENNEL CLUB. Choose method of payment A. BY CHEQUE OR POSTAL/MONEY ORDER I enclose my payment for € ..............................made payable to The Irish Kennel Club. on a yearly basis is €30.00 and must be forwarded with this B. SCALE OF FEES AT PRESENT IN FORCE application. Thereafter there is an annual maintenance fee of €15.00 payable BY CREDIT CARD. Please charge my VISa maStERCaRD on 1st January each year. amOUNt. Life Basis: A Prefix/Affix, on a life basis may be granted on the payment of €150.00 and this will entitle the applicant to the exclusive use of the word for his/her lifetime. EXPIRY DATE OF CARD € ....... ....... / ....... ....... ISSUE NUMBER IF PRINTED ON CARD .................................... SIGNATURE...................................................................................... Date .............. / .................. / ............................ Fee for addition of the name of another person to an existing prefix/Affix, €20.00 Credit Card transaction charge €1.50 FOR OFFICE USE ONLY Received .............................................................................. Fee paid by ......................................................................... P A Register ........................................................................ Checked By ......................................................................... Registered ............................................................................ Remarks ............................................................................... Form pink 24 April 2013_form pink 24 02/04/2013 12:17 Page 2 Form 24 (issued April 2013) THE IRISH KENNEL CLuB GaDHaRCHUmaNN Na héIREaNN Fottrell House, Harolds Cross Bridge, Dublin 6 W. Tel: Show Dept. 4533 023 Tel: (01) 4533300/ 4532309 / 4532310. Fax: (01) 4533237 E-mail: [email protected] website: www.ikc.ie Application for Registration of a Prefix/Affix For Office Use Only 1st Choice ................................................................................................................................. 2nd Choice ................................................................................................................................ 3rd Choice ................................................................................................................................. Received .................................................................... Life Payment €150.................................................... Yearly Payment €30.................................................. (Annual maintenance, €15 payable Ist January each year) 4th Choice .................................................................................................................................. Granted ................................................................... 5th Choice ................................................................................................................................. Please state briefly your reasons for showing prior rights to any of the above words. Full Name (state whether Mr,. Mrs. or Miss) ........................................................................................................................................... Address .................................................................................................................................................................................................. email ............................................................................................................................................................................................................ Breed (or Breeds) interested in .............................................................................................................................................................. In making application for the above Prefix/Affix I/We agree and consent to be subject to the Rules and Regulations of the Irish Kennel Club as at present in force, and as may be amended from time to time. Signature of Applicant/s .............................................................................................................................. Date ...................................................................
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