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Dobermann Club Of Victoria Inc.
New Membership & Annual Renewal Application
Annual Membership Renewals due by 28th February
Secretary
Deb Charters
secretary@dobermannclubvictoria.com.au
Bendigo Bank- Mount Beauty
BSB: 633 000
Account: 185 835 055
Reference: Surname / New Member or Renewal
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* Indicates required question
Email
*
Your email
EFT transfer completed
*
Yes
No
Required
Tell us the reason for your application
*
Breeding
Showing
Pet
Dog Sports (eg Obedience, Rally, Tracking, Scent Work, Agility)
Companion animal
Other:
Required
Name
*
Your answer
Address: (
Enter for new line)
*
Your answer
Phone:
*
Your answer
Joining fee: (Applicable to new members only)
*
Joining Fee $10.00
Not Applicable (if Renewal of Membership)
Required
Membership Fees:
*
Single Membership $40.00
Dual Membership (up to 4 persons residing at same address) $70.00
Life Member
Dogs Victoria Membership No (if applicable):
Your answer
Kennel Prefix (if applicable)
Your answer
Junior Membership
*
Junior Membership $20.00
Not Applicable
Non Dogs Victoria (
or other state body
)
levy
(
Required if you are
not
a current financial member of
Dogs Victoria
)
*
Single $10.00
Dual $19.50
Not Applicable (applies to DV Members or Interstate members )
Required
Date Submitted
*
MM
/
DD
/
YYYY
By completing this form I/We do hereby apply/renew for Membership of the Dobermann Club of Victoria Inc.
I/We fully support the objectives of the Club and agree to be bound by the Constitution, Rules and Code of Ethics of the DCV Inc. as is, or as may be amended from time to time according to the Constitution.
*
Agree
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