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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: Mrs M Thomas The Cairn Terrier Club of N.S.W. Inc. 26 Kneebone St BONYTHON ACT 2905 Fees Single $15.00 Dual $20.00 Junior $5.00 (Where one parent at least is a financial member)
Secretary:
Mr Robert Bartram
PO Box 429
Queanbeyan 2620
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