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 Simply print this out and mail it together with your payment to the Secretary - LACNSW Secretary 137 Grays Point Rd Grays Point NSW 2232 Please circle the appropriate option: Application / Renewal Fees: Single - $10.00 Dual - $14.00 Associate (Outside NSW) - $10.00 Junior (No Newsletter) - $1.00 Name: Address: Phone: Prefix/Affix (if applicable): Email Address: Website: Renewal - I/we enclose our membership renewal for the LACNSW and enclose a cheque/money order for $ Signed:____________________________________________Date:_________ Application - I/we wish to apply for membership of the LACNSW and enclose a cheque/money order for $ . Please indicate which membership type here_____________ Don't forget to include the application fee. Nominated by:____________________________signed:_____________ Seconded by:_____________________________signed:____________ Applicants Signature(s):______________________________________Date:_______ All memberships are due 30th June each year. All cheques should be made payable to The Lhasa Apso Club of NSW. |
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© Lhasa Apso Club of NSW 2010 - Information or photographs from this website cannot be copied, reproduced or used without the express permission from the website owner. Site last updated: 21 April 2010 Site created and maintained by Rysup Web Design |