Simply print this out and mail it together with your payment to the Secretary -
Rachel Millner, 87 Britannia Road, Castle Hill NSW 2154

 
Please tick the appropriate option:

Application _______  Renewal ________
Fees:

Single
$15.00
Dual
$20.00

Family

Breeders Directory
$25.00

$20.00
Name:

Address:

Phone:
Prefix/Affix (if applicable):
Email Address:
Website:

Renewal - I/we enclose our membership renewal for the KCNSW and enclose a cheque/money order for $               


Signed:____________________________________________Date:_________



Application - I/we wish to apply for membership of the KCNSW and enclose a
cheque/money order for $               . 

Please indicate which membership type here_____________ 

Nominated by:____________________________signed:_____________

Seconded by:_____________________________signed:____________

Applicants Signature(s):______________________________________Date:_______



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