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AGILITY DOG ASSOCIATION
OF AUSTRALIA LTD
ABN 83 070 415
404
ONLINE MEMBERSHIP RENEWAL FORM
Fill out the
following details, submit your form (click submit button at end of
page), and then print two copies of the confirmation page - one
for your records and one to send to ADAA with your payment.
To
enable us to keep our records up to date, please provide contact
details for each member - thanks.
TO FINALISE THIS FORM click on the
'Submit' button at the end of this page. Please check the information you have
provided above thoroughly before submitting your membership - thanks. When you
finalise this form you will be taken to a page to confirm the submission was
successful. You will be able to print a copy for your records and to forward to
ADAA with your payment.
Please allow 14 days after receipt of payment for processing of Membership
Renewals. Any enquiries should be made a minimum of 21 days after dispatch of
Applications.
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MEMBER(S) FOR RENEWAL
NOTE: A Valid Email
address is required for Electronic Memberships. If no email
address filled out your electronic membership can not be processed.
The applicant(s) may not enter an ADAA competition without having received their
ADAA membership confirmation and registration details.
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MEMBERSHIP NO :
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Title:
SURNAME:
FIRST NAME: |
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PHONE:
Day
Night
Mobile
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EMAIL ADDRESS 1:
EMAIL ADDRESS 2:
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DOB if *Junior:
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No more members, go
to next section of form |
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MEMBERSHIP NO:
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Title:
SURNAME:
FIRST NAME: |
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PHONE:
Day
Night
Mobile
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EMAIL ADDRESS 1:
EMAIL ADDRESS 2:
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DOB if *Junior:
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>
No more members, go
to next section of form |
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MEMBERSHIP NO :
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Title:
SURNAME:
FIRST NAME: |
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PHONE:
Day
Night
Mobile
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EMAIL ADDRESS 1:
EMAIL ADDRESS 2:
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DOB if *Junior:
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>
No more members, go
to next section of form |
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MEMBERSHIP NO:
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Title:
SURNAME:
FIRST NAME: |
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PHONE:
Day
Night
Mobile
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EMAIL ADDRESS 1:
EMAIL ADDRESS 2:
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DOB if *Junior:
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>
No more members, go
to next section of form |
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MEMBERSHIP NO :
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Title:
SURNAME:
FIRST NAME: |
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PHONE:
Day
Night
Mobile
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EMAIL ADDRESS 1:
EMAIL ADDRESS 2:
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DOB if *Junior:
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>
No more members, go
to next section of form |
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MEMBERSHIP NO:
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Title:
SURNAME:
FIRST NAME: |
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PHONE:
Day
Night
Mobile
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EMAIL ADDRESS 1:
EMAIL ADDRESS 2:
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DOB if *Junior:
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>
No more members, go
to next section of form |
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Your Address: |
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ADDRESS (Line 1):
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ADDRESS (Line 2):
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SUBURB / TOWN:
STATE:
POSTCODE:
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I / We hereby apply for membership / renewal to the
Agility Dog Association of Australia Ltd ABN 83 070 415 404 (ADAA). In
the event of membership admission, I / We agree to be bound by the Memorandum and
Articles of Association and Regulations of ADAA for the time being in
force. I / We have not been convicted of an offence under any legislation relating to
cruelty to animals.
Please confirm that you agree to the above conditions:
Note: Form will
not process if 'No' is selected.
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Select your Membership Type
(refer to table below for a quick overview of available
memberships)
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| ADAA Membership
Types |
Amount |
Electronic Communication
Membership (Single, Dual, Family, Junior) - Three yearly renewals ($15
for three years)
The discounted Electronic membership means that notices and updates etc will
be sent via email, the website etc. Membership Numbers and Dog Registration
Information will be advised electronically (email) only.
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$15.00 |
Written Communication Membership
(Single, Dual, Family, Junior)
- Three yearly renewals ($15 for three years + $30 per annum for mailouts)
Notices, updates, Membership Numbers and Dog Registration Information will
be sent and advised by normal post only at $30.00 per annum.
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$45.00 |
| **Copy of the AGILITY REGULATIONS
(including postage) |
$10.00 |
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Would you like to purchase a
copy of the latest Agility Regulations:
> Agility Regulations $10.00
(includes postage)
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TO SUBMIT THIS FORM click on the
'Submit' button at the end of this page.
Please check the information you
have provided above thoroughly before submitting your membership -
thanks. When you submit this
form you will be taken to a page to confirm the submission was successful.
Here you will be able to print a copy for your records and to forward to
ADAA with your payment. |
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Your details will be on record as
soon as this form is submitted.
Please allow 14 days after
receipt of payment for processing of
Membership Applications. Any enquiries should be made a minimum of 21 days after
dispatch of Applications.
Cheques / Money Orders should be made payable
to:
AGILITY DOG ASSOCIATION OF AUSTRALIA LTD
Cheques / Money Orders and a
printed copy of this form (print version appears after you select 'Submit') should
be sent to:
THE
SECRETARY
AGILITY
DOG ASSOCIATION OF AUSTRALIA
LTD
PO Box 2212
Gailes Qld 4300
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Before submitting double check that the details you have provided are
correct - thanks. |