|
The GOLDEN RETRIEVER CLUB OF NZ INC
|
|
NEW MEMBERSHIP APPLICATION FORM
FINANCIAL YEAR 1st April – 31st March |
NAME: |
PHONE: |
FAX: |
MOBILE PHONE:
|
ADDRESS: |
EMAIL ADDRESS:
Please tick the box if you wish to receive the GRC newslettesr by email rather than post. |
DOG'S NAME/S: |
AGES: |
BREEDER’S NAME(S): |
Interests (please circle):
SHOWING , BREEDING , OBEDIENCE , AGILITY , FIELD TRIAL , TRACKING , PET |
REFERRED BY (please circle):
NZKC , ADVERTISEMENT , FRIEND , LIAISON OFFICER , BREEDER |
NEW MEMBERS SUBSCRIPTONS (per individual or family) |
$30.00 |
|
DATE: |
SIGNED: |
|
I have read and agree to abide by the Code of Ethics of the Golden Retriever Club Inc
PLEASE POST TO: Penny Campbell, Secretary, Golden Retriever Club Inc,
15 Gibraltar Street, Howick, Auckland |
|
Note: lapsed members (those who are not financial at the 1 August following the end of the financial year) are required to pay the full new membership rate of $30.00 |
|