The Maltese Kennel Club of NSW
AUSTRALIA

Please print form  fill in and mail to the Secretary.

Membership fess applicable to Australian and new Zealand residents only.

Single Membership - $20-00        Pensioner - $15-00
Dual Membership  -  $25-00        Pensioner - $20-00

RNSWCC number:                                [if applicable]

Pensioner number:

ALL OTHER COUNTRIES ADD $28-00       [4 newsletters per year by airmail.]

Name:

Address:

Country:                                                    Postcode/zip code

Phone:

Signature of applicant:

All monies in Australian dollars only and made payable to the Maltese Kennel Club of NSW to be included with a completed membership application to :

The Secretary
Maltese Kennel Club of NSW
Mrs. L. Burnett
630 Pacific Hwy
Munmorah.   NSW  2259
AUSTRALIA