• ALTONA CIVIC OBEDIENCE DOG CLUB INC. Membership Form

    ALTONA CIVIC OBEDIENCE DOG CLUB INC. Membership Form

    Financial Year 1st November to 31st October
    • MEMBERSHIP FEES 

    • New Membership Fee - Single
      (1 adult)

      $ 100.00 (November - July)
      $   75.00 (August Pro-Rata)
      $   68.00 (September Pro-Rata)
      $   60.00 (October Pro-Rata)

    • New Membership Fee - Dual 
      (2 adults at same address)

      $ 190.00 (November - July)
      $ 148.00 (August Pro-Rata)
      $ 133.00 (September Pro-Rata)
      $ 118.00 (October Pro-Rata)

    • New Membership Fee - Junior 
      (aged 12 - 16 years)

      $ 75.00 (November - July)
      $  69.00 (August Pro-Rata)
      $  63.00 (September Pro-Rata)
      $  57.00 (October Pro-Rata)

    • New Membership Fee - Aged Pension
      (Govt Aged Pension Card)

      $ 70.00 (November - July)
      $  68.00 (August Pro-Rata)
      $  62.00 (September Pro-Rata)
      $  56.00 (October Pro-Rata)

    • END Membership Fees 
    • MEMBERSHIP RENEWALS 

    • MEMBERSHIP RENEWAL FEES
      Please note:       Memberships can only be renewed during the month of November otherwise 'New Membership' fees will apply. 

      $ 50.00 - Single Membership 
      (1 adult)

      $ 90.00 - Dual Membership
      (2 adults at the same address)

      $ 25.00 - Junior Membership
      (12 - 16 yrs of age)

      $ 20.00 - Aged Pension Membership
      (Govt Aged Pension Card)

    • END Membership Renewals 
    • MEMBER DETAILS 
    •  / /
    • END MEMBER DETAILS 
    • ADDITIONAL DOG  
    •  / /
    • End Additional Dogs  
    • 2nd MEMBER DETAILS - If taking out a 'Dual' Membership 
    •  / /
    • End 2nd Member Details 
    • ADDITIONAL DOG 2nd MEMBER 
    •  / /
    • End Additional Dogs 2nd Member 

    • Dog/s Vaccination Certificates

      Please choose an option below to advise how you will send proof of Vaccination. (Options 2 & 3 must be done within 24 hours of submitting this form)
    • Browse Files
      Drag and drop files here
      Choose a file
      Cancelof

    • General

      Please answer the following three questions.

    • If you have answered 'Yes' to Questions 1, 2 or 3, your Membership application will need to be discussed with the Club Secretary prior to joining.

      The Club has the right to suspend or disqualify any Member's dog that shows a tendency to bite of show aggression.

      JUNIOR Members: Proof of the Junior's age is required and a Parent/Guardian must remain at the Club whilst the Junior Member is in Class. No Members under the age of 18 years are to be left at the Club unsupervised.

      I understand that the ACODC Inc does not accept uny responsibility for any injury that may be sustained by me, my family or my dog/s while on the Club grounds.

      I agree to abide by the rules and regulations of this Obedience and Agility Dog Club.

    • SIGNED:

    • Clear
    • Clear
    •  / /

    • FOR JUNIOR MEMBERSHIP:

      Parent or Guardian to also sign
    • Clear
    •  / /

    • MEMBERSHIP FEES

      The Club’s financial year is from 1st November to the 31st October.
      A New Membership Fee consists of a Joining Fee and an Annual Training Fee until Membership Renewal is due during the month of November ONLY.
      Please note: Subject to club rule 8.2, fees are not refundable.

      Our preferred payment method is by online EFT (Direct Deposit) transactions.

      Our Account details are:
      BSB: 633 000 Account No. 5519764 
      Please use your FIRST NAME and SURNAME as the REFERENCE

       

      If you are unable to pay by Direct Deposit please contact the Secretary
      at info@altonadogobedience.org.au or call 0432 745 303 so that other
      arrangements can be made for you. 

    • End 
    • Should be Empty: