BOXER ASSOCIATION OF VICTORIA Inc.
ABN 24 240 701
423 Incorporation Registration A00 18959H
MEMBERSHIP APPLICATION
ISSUE DATE: FROM 1ST
OCTOBER, 2006 TO 30TH SEPTEMBER, 2007
| Fees: |
Single Membership
Dual Membership
Aged Pensioner
Junior Membership |
$40.00 per year
$45.00 per year
$25.00per year (Photocopy of age pension card required)
$7.00 per year (Available only with an adult membership) |
| Applicants Details: |
VCA Membership NO: ......................... |
Name/s:
....................................................................................................................
Postal Address:
....................................................................................................................
.....................................................................................................................
Post Code .............
Telephone :(Home) ............................. Mobile:................................... Fax: ......................
Email: ......................................................................................
(Please write email address clearly for receipt of Bulletin and notices)
Residential address if different to Postal address above:
....................................................................................................................................
DECLARATION TO BE COMPLETED BY ALL APPLICANTS:
I/WE hereby agree, upon election to any catergory of
membership, to strictly act observe and Act in conformity with,
and not otherwise than, in accordance with the Act and the Rules
and By-Laws of the Club and the Constitution, Rules and
Regulations of the Victorian Canine Association Inc. in so far as
they shall relate to the members and will uphold the honour of,
and endeavour to further the objects of, the Boxer Association of
Victoria Inc. A copy of the Rules and Code of Ethics of the
Boxer Association of Victoria Inc is available on request from the
Secretary.
Signature of all Applicants ..................................................................................................
(If dual membership both parties must sign)
Dated this ............................ day of .................................200
|
Please complete Membership Application in full and return with the appropriate
fees to :
The Secretary, Boxer Association of Victoria Inc.
PO BOX 5050 Laburnum 3130
OFFICE USE ONLY :
The Committee of the Boxer Association of
Victoria Inc. accepted / rejected this application at the Committee
meeting on the .........................................................
Secretary's signature ...............................................
Receipt No. ....................................
Membership No. .....................................
|
|