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Membership Form

 

 

Sporting Spaniel Society of NSW

Application for Membership/Renewal

 

Surname: __________________________Given Names:_____________________________

 

Address/Street No.: _______ Name: _____________________________________________

 

Suburb: ____________________________Postcode: ______T/phone:__________________

 

Email address: ______________________________________________________________

 

Breed/s: ___________________________________________________________________

 

State controlling body membership no.: _____________________________

 

Declaration:

I/We agree to abide by the rules and regulations of the RNSWCC and the Sporting Spaniel Society of NSW, to attend meetings whenever possible and to support the Society’s activities and aims.

 

Applicant’s Name: _____________________________Signature: ______________________

 

Applicant’s Name: _____________________________Signature: ______________________

 

Proposer’s Name: _____________________________Signature: ______________________

 

Proposer’s Name: _____________________________Signature: ______________________

 

Membership Fees:

(Membership falls due on June 30 each year.  NEW members joining at our April Show will receive15 months membership as renewal won’t fall due until July of the NEXT year.)

 

                             Single/Dual* = $20.00.
                             Junior $10.00 (12-16 years; please provide birth date). 
                             Overseas (via airmail) $20.00.
                             Senior Citizens (60+) $10.00.

                            
* Please note that two persons residing at the same address can apply for dual membership. All monies                                   are payable in Australian dollars.

 

Please make cheques payable to Sporting Spaniel Society of NSW and forward to the treasurer – Rebecca Hitchcock, 109A Avondale Road, Cooranbong, NSW 2265.

 

 

 

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