CLUMBER SPANIEL LEAGUE VICTORIA - membership application

those joining after 15th May are considered financial until June 30th the year following

you must renew by August 1st to have voting rights at the next financial year AGM

membership application level

renewing single membership AUD$10-renewing multi membership AUD$16-NEW single membership includes joining fee- 1 name 1 vote AUD$20-NEW multi membership includes joining fee >1 name 2 votes only AUD$32-NEW paid life membership (singles only) note if you aren't upgrading on a renewal the $10- joining must be added AUD$150-bank fee cost levy - if paying by cheque in AUD$ AUD$1-bank fee cost levy - if paying by cheque in any other currency AUD$15-DV insurance levy for Victoria residents who are NOT DV members AUD$10-

ALL APPLICATIONS MUST HAVE A COMPLETED FORM

direct deposit BSB 633000 account 108331646 Clumber Spaniel League Victoria (state memb & state surname, eg membBLOGGS)

cheque payable CLUMBER SPANIEL LEAGUE VICTORIA - email clumberleague@gmail for current treasurer postal address

NOTE: all club correspondence is VIA email

(note what you type on this form WILL be your CSLV membership info, please take care!)

name membership applied in

Dogs Victoria membership number, Victoria residents who are not members of DV are required to pay a DV insurance levy

Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Phone Number - your preferred number

Area CodePhone Number

Phone Number - optional

Area CodePhone Number

Email - your preferred email address

example@example.com

Email - optional extra

example@example.com

state here if you want any and which contact information NOT published, membership names are excluded from this facility, leave blank if you are happy to have all the submitted information available

Please verify that you are really and truly, absolutely human*

I hereby wish to apply to join the CSLV and undertake to uphold the Statement of Purposes and abide by the constitution and any active bylaws of CSLV, and recognize that the CSLV has adopted a Code of Practice in 2004, and by not indicating otherwise on each of my applications to join/rejoin, I am happy for the CSLV to use any or all of my details from the application in any form of publicity for the CSLV

Only signed applications with correct fees lodged will be processed ... by completing this form and pressing submit you declare you have read, agree with, and will abide by this statement

MEMBERSHIP APPLICATION/RENEWAL