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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:
Ms K Smith
Captains Flat 2623
Di Cross Canberra, ACT Email : terriers@terriersact.com |