Print, complete, and post
New member/Renewal
Mr/Ms/Mrs
Given name:
Surname:
Address:
State:
Postcode:
Phone (landline):
Phone (mobile):
Email:
Annual fee: ordinary membership $7.00; junior membership
(12-17 years of age) $1.00.
The fee is GST-free: the club is not registered under the Australian government's
GST system.
Membership is for one financial year. Renewals are due by July 1 each year.
Make cheques and money orders to 'Brunswick Valley Kennel Club'.
Please register me as an ordinary member or a junior member. [Circle applicable
category.]
I enclose $7.00 for the ordinary membership fee, or $1.00 for the
junior membership fee.
I agree to abide by the rules
and regulations of Dogs NSW.
I am a financial member of Dogs NSW. Yes/No [Please circle.]
Membership number:
I am interested in and/or own the following breed(s):
Signature:
Date:
Post to:
Brunswick Valley Kennel Club
PO box 52, Empire Vale NSW 2478
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