Application for Membership

 NAME OF CLUB:

CHIHUAHUA CLUB OF QUEENSLAND

ANNEX A to CONSTITUTION OF AFFILIATES MAY 1994

CONSTITUTION FOR AFFILIATES & SOCIAL CLUB

Rule 9. An application for membership shall be completed on a standard form as prescribed by council from time to time, signed by the applicant's) and accompanies by the prescribed fees, which are valid to the end of the financial year. No other condition of membership application will apply.

To Dog owners, but all members are expected to uphold the aims of the club at all times.

(membership is not restricted

Hereby apply for NEW MEMBERSHIP
RENEWAL OF MEMBERSHIP of the

CHIHUAHUA CLUB QUEENSLAND,
and if accepted by the first available general meeting
of member will abide by the constitution of the club.

I/We declare that I/ We am/are not under suspension by any Australian controlling body - or other affiliate. SIGNED -----------
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Photocopy of application form accepted. Signatures/details must be original * Junior applicant Date of Birth_-/_-/_{============x} Parent/Guardian Signature-----------------------x

DATE--------------x

OFFICE USE ONLY Date Received: Receipt No---------------x

Date accepted:----------------x

(If accepted - Details to be held in Secretary's Membership Register)

For $-----------x

CHIHUAHUA CLUB OF QUEENSLAND

Junior*                                        .$2.00 (10-under 18 years, no Magazine required)
Junior* $10.00 (as above but with mag.)

Overseas $20.00

I/We-------------------------------------------------------------------------------x

(Names Printed)--------------------------------------------------------------x

Of------------------------------------------------------------------------------------x

Post Code------------------------------------x

Phone;                                         Mobile;                                     

 e-mail:

Prefix;--------------------------------------------x   Breed's;------------------------------------x

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