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Membership period 1st September 2009 to 31st August 2010
Name........................................................................................
Address.....................................................................................
................................................Post Code.....................
Telephone.................................
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FROM DECEMBER 2009 THE CLUB NEWSLETTER WILL BE DISTRIBUTED VIA E-MAIL UNLESS REQUESTED OTHERWISE
PLEASE SUPPLY YOUR E-MAIL ADDRESS FOR US TO UP DATE OUR MAILING LIST RECORDS
Email………………………………………….....................
( ) I prefer to receive my newsletter via post
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Membership categories (Please Tick)
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Dual/ Kennel Membership
Single Membership
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( ) Fee $25
( ) Fee $20
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I am most interested in:
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RETURN COMPLETED FORM WITH FEES TO:-
THE TREASURER Mrs. Seleena Nichols Post Office Box 759 Mt Eliza 3930
Cheques made payable to: The German Shorthaired Pointer Club of Victoria Inc
Are you a member of the Victorian Canine Association? YES / NO (Please circle)
If you answered yes to the above question, please state your VCA
Membership Number..................................
SIGNATURE OF APPLICANT..........................................................
DATED.................................................
I AGREE TO BE BOUND BY THE RULES OF THE CLUB FOR THE TIME BEING IN FORCE.
***Membership subject to Committee Approval***
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TREASURER'S/SECRETARY'S USE ONLY:-
Membership accepted YES/NO Reference No........................
Date Membership accepted.....................................
Link to PDF file
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