Calendar Order Form

WHITE SWISS SHEPHERD DOG CLUB OF AUSTRALIA INC A0043538A

CALENDAR 2023 ORDER FORM
Full Name*

First NameLast Name
E-mail*
Mobile Number*
Phone Number*
Payment Method*

Order details*

	Quantity
2023 Calendar $22 (postage included) Member's Price
2023 Calendar $24 (postage included) Non-Member's Price

Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
ELECTRONIC FUNDS TRANSFER DETAILS

Bank: Commonwealth Bank Account Name: White Swiss Shepherd Dog Club
BSB: 063 301 Account Number: 10055290

Please ensure you include at least your surname with the EFT Payment so we can reconcile who it is from

CHEQUE or MONEY ORDER

Payable to the 'WSSDCA INC'
Special Instructions & Requests
Should be Empty: