THE GREAT DANE CLUB OF VICTORIA
(Affiliated with the Victorian Canine Association Inc)

APPLICATION FOR MEMBERSHIP OR RENEWAL

Name: Mr-Mrs-Ms-Miss................................................

Name: Mr-Mrs-Ms-Miss................................................

Name: Mr-Mrs-Ms-Miss.................................................

(To be completed by each member joining under Single/Family Membership)

Address..................................................................

............................................................................

State:    ..................................Postcode:.....................

Telephone No: ........................  Fax No:......................

Email : ....................................................................

Occupation(s):...........................................................

Members interests (e.g. Showing, Obedience etc) …………………………………

Kennel Prefix ............................................................................

VCA Member No:(If applicable)......................................

I the undersigned do agree to abide by the rules of the Great Dane Club Of Victoria (Inc)

(A copy of the rules can be obtained from the Secretary)

Signature...........................

Signature...........................

Signature...........................

Membership Fees: $ 20.00 single $25.00 double
Plus once off $5.00 joining fee

Send to- Secretary; Rhonda Harvey
1345 Donneybrook Rd
Woodstock 3751 Vic