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Membership Form I wish to join the Cairn Terrier Club of NSW Inc. Fees of $...................accompany this application. Name/s………………………………………………………………………………………………………….. Residential address……………………………………………………………………………………………. …………………………………………………………………………………………………………………… Postal address if different from above………………………………………………………….…………… Phone/Mobile…………………………………………………………………………………………………… Email address………………………………………………………………………………………………..... RNSWCC or other canine body membership No…………………………………………………………... Breeders Prefix (if applicable)………………………………………………………………………………… Registered narne of dog(s)…………………………………………………………………………………… Signature (s)……………………………………………………………………………………………………. Proposed………………………………………………………………………………………………………... Seconded……………………………………………………………………………………………………….. Please send this completed form and payment by cheque to: The Honorary Secretary The Cairn Terrier Club of N.S.W. Inc. QUEANBEYAN. NSW 2620 Fees Single $17.00 Dual $23.00 Junior $10.00 (Where one parent at least is a financial member)
Secretary:
Mr Robert Bartram
PO Box 429
Queanbeyan 2620
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