Application
for Membership/Renewal of Membership
o Sale Maffra & District Kennel Club
Inc
o Macalister All Breeds Kennel &
Obedience Club Inc
(tick
appropriate box)
I
/ We
(Full
name of applicant/s)
Address:
...
.
E-Mail
address:
.
Phone:
..
VCA
Membership No.:
.
Breed/s
Apply
for membership / renewal of membership of the above Club/s. I/We agree to abide
by the Constitution, Rules and By-Laws of the Club/s and the VCA Inc.
Please
circle type of membership applied for: Single / Dual / Family / Junior
.
..
Signature
of applicant Signature of applicant
Date:
NEW
MEMBERS ONLY
I,
a member of the Club/s, nominate the applicant/s who
is/are personally known to me for membership of the Club/s.
.
..
Signature
of proposer Date
FEES -
$10.00 per Club
Due
Date: 30th June each year
OFFICE
USE ONLY
Date
Paid
Category
.Year
.