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I/We hereby apply for membership of the Tweed River Canine Club, my details of which are below.

Furthermore I agree to abide by the R.N.S.W.C.C. Constitution, Bylaws and Regulations, and indemnify the Club Officers and it’s Servants against any claim in respect of injury, loss or damage sustained by me/us in participation in any of the Club’s activities, and I/we request that you enter my/our name(s) into the list of Members.

Dated this                            Month                 ,

Name:                  
                                    &
                               

Address:             
Postcode:                Phone:   
                                                     Email           

RNSWCC No.     
(or Equavilant)

Membership Fee $5.00 to Secretary, P.O.Box 1188 Murwillumbah, N.S.W. 2484

PLEASE SUBMIT THIS FORM AND FORWARD PAYMENT TO THE SECRETARY, TWEED RIVER KENNEL CLUB AT THE ABOVE ADDRESS. OR ALTERNATIVELY, PRINT THIS FORM AND FORWARD, ALONG WITH PAYMENT TO THE SECRETARY, TWEED RIVER KENNEL CLUB.
Tweed River Kennel Club Inc.
Copyright © 2006 (Tweed River Kennel Club Inc.)]. All rights reserved.
Revised: 01/03/06.