Dobermann Club of South Australia Inc. - Membership Application/Renewal

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First Name

Please use title case for your name.

Last Name

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Address

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Suburb

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Postcode

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Phone No

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Email This is where your receipt will be sent to.

Confirm Email

Occupation(s)

Were you referred to our club, and if so, by whom?

Are you a member of the South Australian Canine Association (Dogs SA)?

Name of Dog

Main Interest

Obedience

Showing

Breeding

Other

Fees

Family Membership - New $35.00 x Family at same residential address.

Family Membership - Renewal $30.00 x Family at same residential address.

Double Membership - New $35.00 x Living at same residential address.

Double Membership - Renewal $30.00 x Living at same residential address.

Single Membership - New $25.00 x

Single Membership - Renewal $20.00 x

Junior Membership - New $15.00 x

Junior Membership - Renewal $10.00 x

Conditions

I/we agree that I/we will abide by the constitution, rules and code of ethics adopted by the club.

Easy Dog Entries Conditions

I agree to the Easy Dog Entries terms and conditions.

I acknowledge that the acceptance of this payment by Easy Dog Entries does not necessarily imply acceptance of the payment by Dobermann Club of South Australia Inc., which can reject and refund the payment at any time at their discretion.

I acknowledge that any and all refund requests for this payment must go directly to Dobermann Club of South Australia Inc., and that as a service, Easy Dog Entries is not responsible for deciding whether to refund this payment or not.

Payment

Items Total $0.00
Online Payment Fee $0.00
GST $0.00
Transaction Fee $0.10
Total (AUD) $0.10

Card Number

Expiration Month

Expiration Year