Membership Form
I wish to join the Cairn Terrier Club of NSW Inc.
Fees of $...................accompany this application.
Name/s…………………………………………………………………………………………………………..
Residential address…………………………………………………………………………………………….
……………………………………………………………………………………………………………………
Postal address if different from above………………………………………………………….……………
Phone/Mobile……………………………………………………………………………………………………
Email address…………………………………………………………………..................................
YES I would like to get my newsletter electronically…………………………….....
RNSWCC or other canine body membership No…………………………………………………………...
Breeders Prefix (if applicable)…………………………………………………………………………………
Registered narne of dog(s)……………………………………………………………………………………
Signature (s)…………………………………………………………………………………………………….
Proposed………………………………………………………………………………………………………...
Seconded………………………………………………………………………………………………………..
Please send this completed form and payment by cheque to:
Mrs M Thomas
The Cairn Terrier Club of N.S.W. Inc.
26 Kneebone St
BONYTHON ACT 2905
Fees
Single $15.00
Dual $20.00
Junior $5.00 (Where one parent at least is a financial member)