Membership Form
ACT BULL TERRIER CLUB Inc.
MEMBERSHIP FORM
Name.........................................................................................
Address........................................................................................................ Postcode.....................
Phone.........................................
Mobile .......................
Email..........................................................................
Signature .............................................................................Date .................
Kennel prefix ..................................................
Stud Register ($10-00 for 3 lines in newsletter for 1 year)
…………………………………………………………………………………….
…………………………………………………………………………………….
…………………………………………………………………………………….
Annual Fee $10-00 single…………………$15-00 double/family……………………
$10-00 Stud Register ……………………………
Total: Cheque .................... Cash ....................
Please post form and remittance to:
Mrs D Cross
PO Box 7474
SUTTON 2620 NSW
|
|
