Affiliated with DOGS NSW

 Fees: Single $1.00 – Family $2.00

 NAME (Mr/Mrs/Ms)__________________________________________________

 #2 Names: _________________________________________________________

#3 Names: _________________________________________________________

#4 Names: _________________________________________________________

 Address: __________________________________________________________

 Postcode: ____________

 Telephone: ______________________ Email: _____________________________

 Breed/s: __________________________________________________________

 Breeds Prefix( if Any):________________________________________________

Dogs NSW Membership Number/s (if any):__________________________________

 

I/We hereby agree to abide by the constitution and regulations of the Uralla & District Kennel Club Inc.

 #1 Signature: _______________________________________________________

 #2 Signature: _______________________________________________________

 Please post this form, along with your remittance to:

Uralla & District Kennel Club

The Secretary

PO Box 4107

ARMIDALE  NSW  2350

Ph. 02  6772 1688

 We thank you for your application/renewal, and hope that your association with this Club will be both educational and enjoyable.