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Pet Name Date of Birth Pet Name Date of Birth
MEMBERSHIP GROUP(Tick appropriate box)
SINGLE JUNIORDUAL FAMILY
MEMBERSHIP TYPE(Tick appropriate box)
RENEWAL NEW
NOMINATED BY:Signature:SECONDED BY:Signature:
FEE 1 Jul – 30 Jun $35 Full Year: 1 Jul – 30 Jun $40Half Year: 1 Jan – 30 Jun $20
Special Offer for Puppy Buyers from RRC Members BREEDERS RATE Full Year: 1 Jul – 30 Jun $30
(Breeder pays on behalf of Puppy Buyer) Half Year: 1 Jan – 30 Jun $15
AIR MAIL RATES Plus $10 Singapore and New ZealandFor Overseas Members Plus $20 All Other Countries
TOTAL REMITTANCE $ Please forward application form with remittance in favour of the Club to above address
THE RHODESIAN RIDGEBACKCLUB INC. www.therhodesianridgebackclubinc.com
13 Taringa St ASHFIELD NSW 2131MEMBERSHIP FORM 2011-2012
NAME/S:Family Children Names:POSTAL ADDRESS:
State: PostCode: Country:Telephone: Home: Work: Email:
Do you own a Ridgeback?What is your Kennel Prefix (If applicable)
Yes No Are you a
List all RRs owned. Write overleaf if more space required.
Family up to 2 adults and any number of children under 16 years; Junior – 12 to 16 years
I / We hereby apply for membership of The Rhodesian Ridgeback Club Inc. and agree to pay forthwith the appropriatesubscription and fees, and during my / our membership, to abide and be bound by all Rules, Constitution, Regulationsand Code of Practice which may be determined from time to time.I / We accept the obligation to protect, promote and advance the interests of the Breed and it’s Standard.I / We have read and accept the RRCI New Code of Practice ,approved November, 2009
SIGNATURE/S:_____________________________________________________________________________
* Renewals must arrive at the Clubs address BEFORE the 31st August otherwise will be treated as a New Application(Constitution Clause 11) and $40 fee will apply
Cash / MO / Cheque detailsbyReceived by Club on:
Membership Renewal Due 30 June
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