Yorkshire Terrier Club of NSW Inc.

The Yorkshire Terrier Club of NSW Inc.

Application for Membership
Name

PrefixFirst NameLast Name
Postal Address

Street Address

Street Address Line 2

CityState

Post Code
Mobile Number

04nnMobile Number
Landline Phone Number

Area CodePhone Number
Email
example@example.com
I am a
Prefix (Required for Breeders)
DOGS NSW (or relevant State) Membership number. Required for Breeders
Type of Membership
Date of birth if under 16

DayMonthYear
Date
N.B. Between 1st January and 30th June the fees shall be half the yearly rate, when applying for the first year only OR If full fee paid, it covers you for the next financial year as well.
If Dual Membership, Name of other member

First NameLast Name
Payment method
Please do a direct transfer with your name as a reference to:-

BSB 062 805

A/c 1023 2222

The Yorkshire Terrier Club of NSW
Please mail cheques (made out to The Yorkshire Terrier Club of NSW) to:

The Secretary

YTCNSW

P.O. Box 240

Riverstone NSW 2765
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The Yorkshire Terrier Club of NSW Inc.