Memberships
Secretary
Di O'Brien
15 Joshua Court Whitebridge 2290
Tel: (02) 49432263
APPLICATION FOR MEMBERSHIP
Financial Year July-June
I/We the undersigned, wish to become a member / renewal of the Northern British Bulldog Club of New South Wales and agree to abide by the rules and regulations set by the club.
Name:______________________________________________________________
Address:____________________________________________________________
Post Code:____________ State:_________________________________________
Phone No:_____________ Mob No:_________________ Work No:______________
Fax:______________ Email:____________________________________________
Signature:_______________________________________ Date:_______________
My subsription fee $_____________ is enclosed. (single-$5.00 / double-$8.00)
Nominator:__________________________________________________________
Address:___________________________________________________________
Seconder:__________________________________________________________
Address:___________________________________________________________
Please return completed form to Club Secretary at the above address.
Date application submitted to meeting:_____________________________________
Meeting recomendation:________________________________________________
Fees Paid:__________________________________________________________
Added to members listing:______________________________________________
Secretary's signature:__________________________________________________