APPLICATION FOR MEMBERSHIP
I/We herewith apply for membership of the South African Dachshund Club and agree to abide by the Rules and Regulations governing the Club
(Name) Prof/Dr./Mr/Mrs/Miss/Ms
Residential Address
Postal Address
code
Tel : (home)
(work)
Email
Cell No.
I/We enclose herewith my/our payment of R…………….In accordance with the Membership Fees quoted below.
Signature/s ………………………………………………………….
Varieties of Dachshund owned- Tick applicable variety
Smoothhaired/ Longhaired/ Wirehaired/ Min Smoothhaired/ Min Longhaired/ Min Wirehaired.
Introduced by:……………………………………………………………………………….
Fees valid until 31st December, 2011 (per calendar year)
Annual membership : Single: R60.00; Joint: R70,00; Pensioners: R40,00;
Life Membership; Single: R600,00; Joint: R700,00
Overseas: Annual Single: R85,00; Life R850,00.
PAYMENT BY CHEQUE OR DIRECT TO:- a/c 50542199663, code 230 145 at F.N.B. Zambesi Drive. Please email confirmation to waydack@worldonline.co.za or fax 086 557 1854 No postal orders. ADD R18.00 BANK CHARGES IF PAYING INTO BANK BY CASH
