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Membership Form
QUEENSLAND GUNDOG ASSOCIATION
Affiliated with the Canine Control Council (Qld)
Application for Membership or renewal
2011-12
Name____________________________________________________Titles,Mr,Mrs/Ms/Miss.
Address____________________________________________________________
_________________________________________Post Code______________________
Phone_____________________Mobile__________________Email___________________
Breeds_______________________________________________________________________
Prefix_______________________________________________________________
I would like to receive my Newsletter by Email (Please circle reference) Yes No
I/We hereby apply for new membership/Renewal of Membership of the Queensland Gundog Association and if accepted by the First General meeting of Members I/We will abide by the
Constitution for Unincorporated Affiliates of the Canine Control Council (Queensland) used by the Club.
Signed__________________________________Date_____________________________
Should you not receive confirmation of this application in a reasonable length of time please email the Secretary. All changes of email address should be notified as soon as possible to the Secretary.
Current Membership Fees Family $10.00 Single $6.00 Link to Web site $12.00 per annum
Cheques payable to Queensland Gundog association
Post remittance to: The Secretary Advertising in the newsletter $12 for a business card size
Rosalynn Casabella $20 for a ¼ page for 6 issues.
21 Dowling Pl $10 for a full page one issue
Calamvale 4116
Club Use Only
Date Received _____________________Date approved___________________________Amount Received____________
Receipt Number_________________________________________
CLIP HOLDERS are available. If you would like to purchase one of these please send your order and remittance to the Secretary of the club by circling the item below and enclosing the sum required.
Club Card clip Holders $5.00 WE ONLY HAVE NUMBER CLIP HOLDERS LEFT.
Rosalynn Casabella (Secretary) Brisbane, QLD Email : [email protected] |