German Shorthaired Pointer Club Vic. Inc.

Incorporation No. A0024837Y

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Membership Application

THE GERMAN SHORTHAIRED POINTER CLUB VIC INC

Membership period 1st September 2009 to 31st August 2010

Name........................................................................................

Address.....................................................................................

................................................Post Code.....................

Telephone.................................

___________________________________________________________________

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

___________________________________________________________________

Membership categories (Please Tick)

Dual/ Kennel Membership

Single Membership

(  ) Fee $25

(  ) Fee $20

I am most interested in:

Field and Retrieving Trials

Shows

Obedience

Training Days

Helping at Club Events

Committee

(  )

(  )

(  )

(  )

(  )

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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***

*****************************************************************************************

TREASURER'S/SECRETARY'S USE ONLY:-

Membership accepted       YES/NO  Reference No........................

Date Membership accepted.....................................


Link to PDF file
 

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© Copyright German Shorthaired Pointer Club VIC. INC 2006 All rights reserved.
Incorporation No. A0024837Y