Memberships
NORTHERN BRITISH BULLDOG CLUB OF NSW
President Secretary
Wes Stacey Diane O'Brien
27 Alfred Street 15 Joshua Court
Cessnock NSW 2325 Whitebridge NSW 2290
Ph 49901610 Ph 49432263
APPLICATION FOR MEMBERSHIP/RENEWAL
Financial Year 01/07/ --- 30/06/
I/We the undersigned wish to become a Member / Renewal of the above Club and agree to abide by the Rules and Regulations of the Northern British Bulldog Club of NSW.
Name/s_____________________________________________________________________________________
Address_____________________________________________________________________________________
Post Code______________ State_______________
Phone No._________________________ Mobile________________________
Email _______________________________________________________________________________________
Dogs NSW Membership No.__________________________ &________________________________
Breeding Prefix Name__________________________________________________________________
My Subscription Fee $ is Enclosed
Fees: Single $5 Double $8
Signed___________________________________________________________________
Date________________
Nominator;________________________________________________________
Seconder__________________________________________________________
Please return your completed application and fee to the Secretary at the above address.
Office use only.
Added to members list on _________________________________________
Fees paid ________________________