Please copy, or print, fill in and send to The Secretary.
Membership application / renewal.
I / We........  ............  ...............................

Kennel prefix. .............. Note:
( You don't have to be a breeder to be a member )

Breed:---------------------------------------------------------

 Address:----------------------------                                      

---------------------Postcode. ------------                           

Phone no;---------------. ( A/H )---------------------------

Fax no;-----------------E-mail:........................................

Nominated by. ---------------- Seconded by. ------------

I / We enclose the appropriate fees of $........               

Signed. ----------------------    Date;--------

Fees: Single: $ 6.oo   Joint: $ 10.oo      

Send to :Secretary. Mrs. J.Watt. Ph: 33723654
 
 9. Clifton Cres, Durack,4077  QUEENSLAND.
 
Name:...............................................
Address:.............................. Postcode..............             

 

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