Poodle Club of Victoria Inc

The Poodle Club of Victoria is Affiliated with DogsVictoria.

For Membership Enquiries please contact the Secretary, Cathy Peters on 03 5134 5249 or via email at poodleclubofvictoria@hotmail.com

Membership is from 1 October to 30 September.

After completing this form please forward payment to:

The Secretary
Poodle Club of Victoria
21 Porter Street
Morwell 3840

MEMBERSHIP APPLICATIONS WILL NOT BE PROCESSED UNTIL THE APPROPRIATE FEES HAVE BEEN RECEIVED AND ARE SUBJECT TO COMMITTEE APPROVAL.

2010 Application for New Membership

Name of Applicant/s:

Of (Full Address):

Telephone (A/H, B/H, Mobile):

Website Address:

Email Address:

Occupation:

Poodle Variety (Standard, Mini, Toy):

Prefix:

If you are a breeder please state kennel pre-fix & colours bred:

Groomers:
If you are a GROOMER and would like referrals please check the box.

Membership Fees:
Dual Membership - $35.00
Joining Fee - $5.00 (new members only)
Pensioner Discount - $5.00
Single Membership - $30.00

Acknowledgements:
I/We agree to be bound by the Constitution, Rules and Regulations of DogsVictoria
I/We agree to be bound by the Rules and By-Laws of the Poodle Club of Victoria

Date this form was completed:

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