Membership Type:

 JOINING FEE ($5)

 Single ($15)
 Double ($20)
 Junior (FREE), Date of Birth: 

 Pensioner Single ($10)

 Pensioner Double ($15)
 Overseas/International ($25 AUS. Must be in Australian Dollars)

Given/First Name:

Family/Last Name:

E-mail:

Phone Number:

SACA Number (if applicable)

Kennel Prefix (if applicable)

Postal Address: