Application for Membership to the Dominion Bullmastiff Club INC

Name:____________________ Address:__________________ _________________________ _________________________ Phone:____________________ Mob:_____________________ Occupation:________________

No. of Dogs Owned:____________ Kennel Name:__________________ Show: Yes/ No Breed: Yes/ No May Show or Breed: Yes/ No

I agree to abide by the Executives decision as to whether this application is approved or declined.

Signed:_____________________

• Membership Fees inside NZ: Single: $20.00 Family: $30.00

• Membership Fees Australia: Single: $27.00NZD Family: $37.00NZD

• Membership Elsewhere: Single: $32.00NZD Family: $42.00NZD

Send Payment to:

Dominion Bullmastiff Club - Treasurer
C/o- R McDonald
1138 Omanawa Road
RD
Tauranga
New Zealand