The Schnauzer Club of Victoria Inc.

The Schnauzer Club of Victoria Inc.
(Affiliated with the Victorian Canine Association Inc. - trading as Dogs Victoria)
Registered Number 0019114Y
President
Ms Shelley Hancox
P O Box 448
Geelong Vic 3215
Secretary
Mrs Isabel Mundy
16 North Mountain Road
Heathcote Junction Vic 3758
e: isabel-m@live.com.au
Treasurer
Ms Suzie Tzimas
10 Lochinver Street
Wollert Vic 3750
e: suzie@aisnational.com.au
I/We
(Mr Mrs Miss Ms Dr)
(Full name of Applicant(s))
of
(Address)
(Postcode)
(Telephone)
(Mobile)
(Fax)
(Email)
Occupation
VCA No.*
*(VCA No. is required where applicable)
I/We desire to become a:
□ Single
(tick one)
Cheque Value $ _____________________________ Enclosed
□ Family
□ Dual
□ Junior
□ Overseas1
1
(Remittance in AUD)
Date ____________________ ($10.00 Joining Fee)
Name of Dog(s) ________________________________________________________________________________________________________
B r ee de r
In the event of my/our admission as a Member(s) in the above category. I/We agree to be bound by the Rules of The Schnauzer Club of Victoria Inc. (“SCOV”).
Signature of Applicant(s)
Date
Date
Nominated by
(Print Name)
For Junior Membership only
Parent/Guardian Signature
(Signature)
Seconded by
(Print Name)
(Signature)
PLEASE NOTE THE FINANCIAL YEAR OF THE SCOV IS APRIL 1 TO MARCH 31
Joining Fee _______________________________________ $10.00
Single – Single Vote ________________________________ $35.00
Family – Single Vote _______________________________ $45.00
Dual – Two Votes _________________________________ $45.00
Overseas ________________________________________ $40.00
Junior (up to 16 years of age) ________________________ $15.00
Breeders Listing ___________________________________ $20.00
Extra services on Breeders Listing
e.g. boarding, grooming, etc. ________________________ $20.00
CHEQUE TO BE MADE PAYABLE TO:
Schnauzer Club of Victoria Inc.
AND MAIL WITH
THIS COMPLETED MEMBERSHIP APPLICATION FORM
TO:
Mrs I Mundy
16 North Mountain Road
Heathcote Junction Vic 3758
If joining after October 1, fees for the reminder of the year are as
follows:
Joining __________________________________________ $10.00
Single ___________________________________________ $17.50
Family or Dual ____________________________________ $22.50
Overseas ________________________________________ $20.00
Junior (up to 16 years of age) _______________________ $7.50
If you wish to receive the ‘Schnauzer Snippets’ via email
(Full Colour)
Please Tick here □
MEMBERS INFORMATION
Please answer only those questions you choose to answer. Your acceptance into the Schnauzer Club
of Victorian Inc. (Club) in no way depends upon the filling out of this side of the form. These
questions only help us to get to know you better and to determine how best the Club can help you.
I am interested in the following activities - Tick all that apply
□ Conformation
□ Obedience
□Tracking
□Agility
□Breeding
Your family consists of (children, pets, etc. – include names)
Your family’s interests (hobbies, sport, etc.)
Why did you choose a Standard/Miniature/Giant Schnauzer?
Experience (past and current)
Have you received help from your breeder(s) of your dog(s)?
In what areas would you like the Schnauzer Club of Victoria Inc. to help you with your “doggie” problems?
What other questions would you like answered?
Do you have any particular talents that might be utilized by the Schnauzer Club of Victoria Inc.?
Other comments
2015 SCOV MEMBERSHIP APPLICATION FORM
General
□Grooming □ Knowledge