I/We............................................................................................wish toapply for single/dual/family/junior membership (cross out those which don't apply),
to the "AUSTRALIAN SILKY TERRIER CLUB OF NORTHERN N.S.W." for the year ending 30th June  20..............
I/We agree to accept and abide by the Constitution and Rules of the Society and the code of
ethics.
Signed.........................................................................
Name......................................................................(please print)
Address................................................................................
..............................................State...............Postcode......................
Country.........................
Phone.......................................Prefix.................................................
Membership Rates
Single                          $  8.00   
Dual/Family    $12.00 
Junior (under 16yrs)  $  5.00 
(for a single child joining on their own without an adult / must be countersigned by parent)
Associate Membership  $  2.00  ( No Newsletter)
New Members  $  5.00  Joining Fee (Incl copy of Constitution + Club Rules
$10.00 Extra to cover postage for Overseas Members.
Nominated by.........................................................................................
Seconded by...........................................................................................
            (nominations required for new members, are to be made by financial members only)
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Postal Address for Newsletter

Name..................................................................................................................................................(please print)

Address................................................................................................................................................
..............................................................State............................... Postcode...............................Country.........................................

Please  forward  application  with  cheque /money order for                      appropriate fees, (Australian) to the
                    Secretary
                    ASTC of NNSW
                    Mrs Denise Morley
                    44 Aroona Street
                    Edgeworth  NSW  2285 AUSTRALIA                   
                    Phone: ( 61 ) (02) 4958 2201
                    Fax:    ( 61 ) (02) 4958 8862
                    Email:fredendi@idl.net.au
            Club Web :-http://cust.idl.com.au/fredendi/page5.html