The Schnauzer Club of Victoria Inc.
Transcription
The Schnauzer Club of Victoria Inc.
The Schnauzer Club of Victoria Inc. (Affiliated with the Victorian Canine Association Inc. - trading as Dogs Victoria) Registered Number 0019114Y President Ms Shelley Hancox P O Box 448 Geelong Vic 3215 Secretary Mrs Isabel Mundy 16 North Mountain Road Heathcote Junction Vic 3758 e: [email protected] Treasurer Ms Suzie Tzimas 10 Lochinver Street Wollert Vic 3750 e: [email protected] I/We (Mr Mrs Miss Ms Dr) (Full name of Applicant(s)) of (Address) (Postcode) (Telephone) (Mobile) (Fax) (Email) Occupation VCA No.* *(VCA No. is required where applicable) I/We desire to become a: □ Single (tick one) Cheque Value $ _____________________________ Enclosed □ Family □ Dual □ Junior □ Overseas1 1 (Remittance in AUD) Date ____________________ ($10.00 Joining Fee) Name of Dog(s) ________________________________________________________________________________________________________ B r ee de r In the event of my/our admission as a Member(s) in the above category. I/We agree to be bound by the Rules of The Schnauzer Club of Victoria Inc. (“SCOV”). Signature of Applicant(s) Date Date Nominated by (Print Name) For Junior Membership only Parent/Guardian Signature (Signature) Seconded by (Print Name) (Signature) PLEASE NOTE THE FINANCIAL YEAR OF THE SCOV IS APRIL 1 TO MARCH 31 Joining Fee _______________________________________ $10.00 Single – Single Vote ________________________________ $35.00 Family – Single Vote _______________________________ $45.00 Dual – Two Votes _________________________________ $45.00 Overseas ________________________________________ $40.00 Junior (up to 16 years of age) ________________________ $15.00 Breeders Listing ___________________________________ $20.00 Extra services on Breeders Listing e.g. boarding, grooming, etc. ________________________ $20.00 CHEQUE TO BE MADE PAYABLE TO: Schnauzer Club of Victoria Inc. AND MAIL WITH THIS COMPLETED MEMBERSHIP APPLICATION FORM TO: Mrs I Mundy 16 North Mountain Road Heathcote Junction Vic 3758 If joining after October 1, fees for the reminder of the year are as follows: Joining __________________________________________ $10.00 Single ___________________________________________ $17.50 Family or Dual ____________________________________ $22.50 Overseas ________________________________________ $20.00 Junior (up to 16 years of age) _______________________ $7.50 If you wish to receive the ‘Schnauzer Snippets’ via email (Full Colour) Please Tick here □ MEMBERS INFORMATION Please answer only those questions you choose to answer. Your acceptance into the Schnauzer Club of Victorian Inc. (Club) in no way depends upon the filling out of this side of the form. These questions only help us to get to know you better and to determine how best the Club can help you. I am interested in the following activities - Tick all that apply □ Conformation □ Obedience □Tracking □Agility □Breeding Your family consists of (children, pets, etc. – include names) Your family’s interests (hobbies, sport, etc.) Why did you choose a Standard/Miniature/Giant Schnauzer? Experience (past and current) Have you received help from your breeder(s) of your dog(s)? In what areas would you like the Schnauzer Club of Victoria Inc. to help you with your “doggie” problems? What other questions would you like answered? Do you have any particular talents that might be utilized by the Schnauzer Club of Victoria Inc.? Other comments 2015 SCOV MEMBERSHIP APPLICATION FORM General □Grooming □ Knowledge