Name *

First Name

Last Name

Phone *

(###)

###

####

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Are you a breeder? *

Yes

No

Have you made payment? *

Yes

No

I have read and agree to be bound by the Code Of Ethics and to at all times obey the Constitution, of The Dobermann Club of NSW inc.? *

Yes

No

Membership Application Procedure *

1. All applications for membership will be considered by existing members at the next General Meeting of the Club. 2. Applicants will be notified of the outcome shortly after the meeting. 3. Please allow time for processing and communication following the meeting.

By submitting my membership application, I acknowledge and agree to this process and understand that approval is not guaranteed.