MEMBERSHIP APPLICATION

          I/We hereby make application to join the South Island Non Sporting & Utility Dog Assn. Inc

 Name/s:.....................................................................................................................................................

 ...................................................................................................................................................................

 ...................................................................................................................................................................

 Address:....................................................................................................................................................

 ...................................................................................................................................................................

 Telephone:............................................................Fax:.............................................................................

 Email:........................................................................................................................................................

 Breed/s:....................................................................................................................................................

 NZKC Membership Number/s (if applicable):.......................................................................................

 I/We declare that within the Rules and Regulations of the New Zealand Kennel Club

 I am/We are eligible to be a member of the South Island Non Sporting & Utility Dog Assn. Inc.

 And that I/We will abide by the rules of the South Island Non Sporting & Utility Dog Assn. Inc.

 .................................................................................................................................................................

 .................................................................................................................................................................

 (all prospective members must sign form)

 $5 Single Adult Membership

 $10 Family Membership (two or more persons from same household)

Please send this form to the Secretary at 17 Heyders Road, Spencerville, Christchurch 8083

with appropriate membership fee.