2nd APPLICANT (Dual Membership - must reside at the same address as the 1st applicant)

Direct Deposit to

Newfoundland Club of NSW ANZ Bank

BSB: 012-635

Account Number: 233256664

Please identify this payment with your name for referencing.

 

 

Form Submission Options:

1.  Online form.  Once you hit the Submit button, this will generate an email to our Club.

2.  Print and email the form to newfoundlandclubnsw@hotmail.com

3.  Post your application to Robyn Parkin, 24 Greenhills Road, Berrima NSW       2577.

1.  Please ensure that you have completed all details on this application, including all signatures

2.  Have supplied a Residential Address if you supplied a PO Box as your Postal Address please supply and at least one contact number.

I/We apply for membership of the Newfoundland Club of NSW and by signing this declaration declare that:

1.  I/We have never been convicted under the Cruelty to Animals Act in any State or Territory of Australia.

2.  I/We am/are not currently under investigation or suspension by another Member Body of the Australian National Kennel Council Ltd.

3.  I/We acknowledge that once I become a member, any submissions to the club will become the property of the club to utilised as the club feels appropriate.

4.  I/We acknowledge that once I become a member, the Newfoundland Club of NSW may contact me via post, email or phone.

5.  I/We acknowledge that my/our personal information will not be on sold to any third party.