APPLICATION FOR MEMBERSHIP OR RENEWAL

​BSB : 803070                 ACCOUNT NUMBER : 39946

         OVENS VALLEY CANINE CLUB INC
         PO BOX 168
         MYRTLEFORD VIC 3736

Membership Renewal: Membership is now due (members who joined after September 1^st 2017 are exempt from renewing). Membership fees have remained the same once again this year.

Please find attached the Renewal form which can be either paid at training, mailed to the OVCC Post Box, or can be paid through BPAY (details at the top of this letter).

If using BPAY please make sure you state your name and that it is for ‘dues.’ You will need to fill out the renewal form and either post, email or bring it along to training.

Name…………………………………………….VCA No…………………………..

Address………………………………………    My Dog……………..……………

Town……….............................................       Breed……………………………

Postcode ………….        Last vaccinated ….……………Papers sited……..

Ph No…………………………….………..Mobile…………..………………………

Email (clearly please)……………………………………………………………….

Upon a nomination being referred to the Committee, the Committee shall determine whether to approve or to reject the nomination at the next committee meeting (2011, The Rules and Statement of Purposes for Ovens Valley Canine Club Inc. Clause 3.4 & 3.5). In the event of the application being refused such subscription shall be refunded to the applicant.

        I wish to apply for membership of Ovens Valley Canine Club Inc.

       I wish to renew my membership for the year 2018.

Initial Joining fee   ……………………………………........  $15.00*

YEARLY MEMBERSHIP FEES 

[please tick appropriate fee]

Single Membership…………………………………    $20.00*

Dual Membership…………………………………..     $30.00*

Single Concession………………………………….     $15.00*

Dual Concession……………………………………      $25.00*

Junior (under 16 years), all privileges

Except voting rights…………………………………   $15.00*

Plus*

*Non Victorian Canine Association Members*

are required to pay an annual Insurance levy of    $8.00                                     

[Example - New member $15 + $20 + $8.00 = $43.00]

[Example - Renewal non VCA - $20 + $8.00 = $28.00] 

TRAINING FEES

Please pay your weekly training fee of $4.00, sign in and collect your name badge at the clubhouse, before going to class.

Signature ……………………………..Date……………………………………….

OFFICE USE

Date received…………………………    Amount Received…………….……………………………………

Cash / Chq……………………...........            Receipt No…………………..…………………………………

MEMBER/PARENT/GUARDIAN

 PHOTOGRAPH/WEBSITE/VIDEO/FACEBOOK

 AUTHORISATION

I, ____________________________________, member/ parent / legal guardian of the member named below, agree/do not agree to provide permission for the photographic, website, video, facebook or any other form of electronic recording of the named member for use in the club Newsletter, Website and App as well as any other media such as the local newspaper.  

I acknowledge and agree that ownership of any photographic, website, video, facebook or any other form of electronic recording be retained by Ovens Valley Canine Club Incorporated.

I authorize the use or reproduction of any recording referred to above for any reasonable purpose as indicated above, within the discretion of Ovens Valley Canine Club Incorporation without acknowledgment and without being entitled to remuneration or compensation.

I understand and agree that if I wish to withdraw this authorization, it will be my responsibility to inform Ovens Valley Canine Club Incorporation committee of management in writing.

OVENS VALLEY CANINE CLUB INC. PHOTOGRAPH/WEBSITE PERMISSION SLIP

Date ___ /___ /____        Signature_______________________________

(Member / Parent / Legal Guardian)

Name of Member   ___________________________________________

Email Address_______________________________________________

Contact Telephone Number_____________________________________

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