PLEASE SEND TO:
THE SILKIE CLUB OF AUSTRALIA INC.
136 SPICERS RD RAINBOW FLAT. NSW. 2430
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MEMBERSHIP FORM
I hereby apply to join / renew * my membership of the Silkie Club Of Australia Inc.
Membership is from 1st July 2009 to 30 June 2010.
Name: ………………………………………………………………………………………….
Postal Address: ………………………………………………………………………………..
…………………………. State: …………… Postcode: …….....
Contact telephone number home:…………………. Work: ………
Email Address: ……………………………………………………………………………….
Colour [s] & type [s] of silkies owned / bred: [this information is for inclusion in the breeders directory.
If you do not wish your name to appear in this publication, please write N/A ]
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I enclose a cheque / money order * for membership indicated:
please circle which membership
Adult or Junior ($10.00) Family ( $15.00) 2 Adults & 2 Children
Signature: …………………………………….. Date: …………………………
*delete whichever dose not apply