|
|
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:
|
|
|
Newsletters will be emailed to our members who have a valid email
address. If you do not wish to receive
your newsletter by email and would prefer to receive a copy in the post,
please tick the box.
|
|
|
|
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, WEBSITE, 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: Sue Colvin, Secretary, Golden Retriever
Club Inc,
|
|
|
12 Vincent Street, Howick, Auckland
|
|
|
