COLLIE ROUGH & SMOOTH CLUB OF QLD INC.
Membership Application or Renewal for 2018
Joint Membership __ $15
Single Membership __$10
Junior Membership __$5
Apply to become a member of the Rough and Smooth Collie Club of Queensland inc
Send new membership applications to:
Ms Corina Lowther, 77 - 83 Friar St, Munruben, QLD 4125
All memberships are due and payable 31st October,2017 (end financial year)
Financial Year ended on 31st October, 2017
I/We (Name): ________________________________________________
Phone No: ________________________________________________
Email (Opt): ________________________________________________
I / We hereby apply for/renew my/our membership of the Collie Rough and Smooth Club of Queensland Inc., for the year 2017/18.
I / We agree to be bound by the rules and regulations of the Club, and the Constitution, Rules and Regulations of Dogs Queensland.
Are you a member of the C.C.C.? Yes / No
Would you like your Newsletter by email? Yes / No
Signature of Applicant(s):________________________________ Date: ________________
___________________________________________________ Date: ________________
Signature of Nominee: _________________________
Print Name: ______________________
Please forward Application and Fees, including late fees and address changes to the Secretary: Corina Lowther , 77-83 Friar St, Munruben, Qld, 4125
ROUGH AND SMOOTH CLUB OF QUEENSLAND CONSTITUTION.pdf