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Membership Form
AMERICAN COCKER SPANIEL
CLUB OF VICTORIA INC
2006
MEMBERSHIP FORM
NAME…………………………………………………………………….
ADDRESS……………………………………………………………….
…………………………………………………………………………….
PHONE NO……………………………… POST CODE……………
KENNEL NAME…………………………………
REGISTERED NO............
Email address .....................
Membership Fees
________________
Dual $25.00 ………
Single $22.00 ………
Joining Fee 5.00 ……….
New Zealand & Overseas add A$10.00
Australian Dollars
Total Paid ………………
Application and fees to be forwarded to
The Secretary,
M's.Elaine Murphy
39 Menzies Road
Menzies Creek 3159
Membership Fees are due and payable on the 31st October Each Year.
Any membership renewal paid after 31-12-2005
Must pay a rejoining fee.
All new memberships must pay joining fee:
Non Members of VCA must pay:: Levy to Cover Insurances:
Single $6.50 Duel $13.00
All Intersate and Overseas members exempt:
BREEDER’S LISTING
__________________
(Yankee Doodle Dandy) – Unaltered copy (business size card) to appear in all issues of Y.D.D. for a period of 12 months. A$10.00
Copy or information required in listing to be forwarded with fees to
Club Secretary.
RECEIPT NO. (Club use only) …………… Date Received …………….