Canberra & Dist Sporting Terrier Club 

Membership Form


Canberra & District Sporting Terrier Club Inc.
 Membership Form
  
Name…………………………………………………………………………………
  
Address………………………………………………………………………………
 
……………………………………………………………Postcode………………
 
Phone…………………………Email………………………………………………
 
Signature…………………………………………………Date………………………
  
Kennel Prefix…………………………………….
  
Breed/s…………………………………………………………………………………
 
What I am interested in ……………………………………………………
 
…………………………………………………………………………………………………
Annual Fee:     $10.00 single                   $...............
 
                        $15.00 double/family     $...............
 
                        Total                               $...............
 
 
Please post form and remittance to:     
 Mr R Bartram                                        
PO Box 429
QUEANBEYAN       2620
 
 


Contact Details
Di Cross
Canberra, ACT
Email : terriers@terriersact.com

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