APPLICATION FOR MEMBERSHIP/RENEWAL OF MEMBERSHIP
MR/MRS/MISS.........................................................................................
ADDRESS:.................................................................................................................
.................................................................................................................................
...........................................................................................POST CODE:....................
TELEPHONE:...........................................
VCA MEMBERSHIP NO.................................
NUMBER OF GRIFFONS OWNED:.............DOGS..........BITCHES..............
NAMES..............................................................
I/We hereby apply to the GRIFFON BRUXELLOIS CLUB OF VICTORIA INC for membership
DUAL MEMBERSHIP, consisting of any two members of one family resident at the same address, or any two of the persons who are partners in the conduct of a kennel prefix in their join names regisered with the VCA., 16 years of age or older, being entitled to one vote. Both must sign the application
SUBSCRIPTION $20 per annum
SINGLE MEMBERSHIP, covering any one person 16 years of age or older, said individual being entitled to one vote. SUBSCRIPTION $15. per annum
JUNIOR MEMBERSHIP, covering any one person under 16 years of age, said individual may not vote or hold office. SUBSCRIPTION $10 per annum
BREEDERS' DIRECTORY SUBSCRIPTION $12.50 for 12 months
Enclosed is my/our Cheque/Money Order/Cash for $...................
for DUAL/SINGLE/JUNIOR MEMBERSHIP/BREEDERS DIRECTORY, made payable to the GRIFFON
BRUXELLOIS CLUB OF VICTORIA INC.
I/we agree
* To be bound by the Constitution and By-Laws of the Griffon Bruxellois Club of Victoria Inc.
* To endeavour to be party only to honourable dealings which will reflect favourably on the Breedand the Club
*To adhere to the Code of Ethics of the VCA See here:
date..............................................signature......................................................
Application and payment to be forwarded to the Treasurer, Miss T. Roscrow, 85 Village Drive,
Reservoir, Victoria 3073.