Form 1
Rule 3
Associations Incorporation Act 1981 (Victoria)
(Affiliated with the Victorian Canine Association Inc)
Membership Application* Membership Renewal*
I*/We*................................................wish to make application to the Australian Silky Terrier Club of Victoria for membership for the year 20..../20....and agree to abide by the Rules and Regulations of the Club and to be bound by the provisions of the Code of Ethics as printed on the reverse hereof.
I*/We* also enclose the appropriate fees of $..................
Signature(s).................................................................................................................
Mailing Address:..........................................................................................................
City..................................................State.........................Postcode............................
Telephone........................................................ Email Address..............................
Joining Fee Adults $5.00
Dual Membership $5.00
Children up to 16 yrs $1.00
Annual Fees: Adults $15.00
Dual Membership $25.00
Children up to 16 yrs $ 3.00
New Members only:
Nominator Signature.....................................................................................................
(Nominator must be current financial member of the Club)
Note: Nominations are only required for new members, not for renewals.
*Strike out words which do not apply.
Services available: (e.g. Boarding, Grooming etc.)...........................................................
This application and appropriate fees are to be returned to the Club Secretary:
Mrs Marilyn Warren
5 Watson Close
HOPPERS CROSSING Vic 3029
Please enclose a SAE for your receipt.