Title (Mr/Mrs/Ms etc):
First name and initials:
Surname:
Address:
Tel no work:
Tel no home:
Tel no Mobile
Fax Number:
Email address:
I am a registered farrier/ horse shoer/ apprentice farrier/ vet/ horse owner/ other (please specify):
I apply to become a member of UKHSU. I understand that the information given above will be stored in a computerised database but will not be supplied to any other organisation without my permission.