S o u t h e r n   B u l l d o g   C l u b   I n c

Membership Subscription Form

(31st March 2010 – 31st March 2011)

 

Subscriptions – Please tick appropriate membership

 

p $20 NZ Membership                        p $25 Overseas Membership

 

p New Member                         p Renewal

 

p Please tick if you would like a receipt sent out to you.

 

 

Name(s):

 

 

Address:

 

 

 

 

 

 

Home Ph:                                          Cell Ph:      

 

 

Email:

 

 

Where did you hear about the SBC:

 

Do you want an electronic or paper copy of the Club Magazine?

 

Breeders

If you are a NZKC registered breeder please tick the box if you would like to go onto our Breeders list and/or more information about being listed on the SBC website (please make sure you have filled out your email address correctly).

 

p Breeders List                p Website Listing Information

 

 

Kennel Name

 

p If you are already on the Breeders list and would like to come off it please tick.

 

Post form & payment to: Southern Bulldog Club, PO BOX 98, Belfast, CHRISTCHURCH, 8546.