Membership Form

Your Name:  

Your Email:  

Address:   Postcode 

Phone #:   Mobile #:  

MEMBERSHIP TYPE:
Registered Boxers:  Double $30 Single $25 Pensioner* $25 International $30
*Copy of concession or Pension Form Required. Associate Members reduce by $5.

Registered name of Boxer:  

Registration number:  

ASSOCIATE MEMBERS
Being a person or persons who have a genuine interest in the breed but who do not currently own a registered Boxer, or for those who own WHITE Boxers which have been sterilised and therefore will not be used for stud or breeding purposes (Please provide a copy of sterilisation certificate when returning this application).

CHEQUES PAYABLE TO THE BOXER CLUB OF WESTERN AUSTRALIA
If you prefer to pay by cheque, please post to:
Mrs J Canham, 20 Fielder Road, Serpentine WA 6125 (Australia)
Ph: 08 9525 7687 Email: jcanham@ozemail.com.au
 

NB: Please read The Constitution of the Boxer Club of Western Australia, click here to open The Constitution in a new window.

I/We have read the Constitution of the Boxer Club of Western Australia and hereby agree to be bound by the rules and regulations contained therein.

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