CANTERBURY KENNEL ASSOCIATION (INC.)
President- Mr. Brian Harris, 94 Kainga road, Kainga, Christchurch 8083 Ph. 03 323-8187
Secretary- Mrs Jill Dawson - PO Box 100, Kaiapoi 7644, North Canterbury, Ph. 03 327-8683
or email secretary@cka.co.nz
MEMBERSHIP APPLICATION FORM
I/We apply for Membership of the Canterbury Kennel Association Inc.
I/We hereby agree to abide by the Rules and Regulations of the Association.
FULL NAME/S .
ADDRESS .
OCCUPATION TELEPHONE NUMBER
BREED/S OF DOGS OWNED OR ASSOCIATED WITH ........................................................................
APPLICANTS ORDINARY SIGNATURE/S .
PROPOSED BY SECONDED BY
Subscriptions are due 1 January each year
Persons joining after 1 October will be financial for the following year.
SUBSCRIPTION RATES
DUAL $15.00 (includes GST)
SINGLE $10.00 (includes GST)
JUNIOR (under 17 years) $5.00 (includes GST)
PAID LIFE $100.00 (includes GST)
Club Badges are available at $10.00 (includes GST)
TOTAL MONIES ENCLOSED DATE ..
please forward to:- The Secretary, CKA Inc., PO Box 100, Kaiapoi 7644 Ph. (03) 327-8683