Western Australia Toy Dog Specialist Club Inc.
Membership Application/Renewal
Name/s:..................................................................................................................
Kennel Prefix:.........................................................................................................
Breed/s of Dog/s:..................................................................................................
Address:.................................................................................................................
Suburb/City:.......................................................Post Code:..................................
Country:........................................ Email:...............................................................
Phone No:.......................................... Fax: .............................................................
CAWA Membership No:..............................................
Type of Membership
Dual $8 - Single $6.00
(Please circle)
Applicants signature:.......................................................................................
Nominated by:..................................................................................................
Seconded by:....................................................................................................
Date:.................................................
Please return form together with cheque/money order to:
The Club Secretary WATDSC Inc.
5 Dalby Court, Willetton WA 6155
Please note: If applicant is under 16,
Parental consent and signature is required:....................................................................Details required for WATDSC Newsletter
Name:....................................................................... Address: .............................................
..................................................................................................... Post Code: .....................
Phone No:............................................ Email:.......................................................................
Web Site URL:......................................................................................................................