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A.C.T. & District Staffordshire Bull Terrier Club Inc

(Affiliated with the A.C.T. Canine Association)

Membership Form: July 2004 – June 2005


       (Please circle one)  

NAME :____________________________________________________________________________          


PHONE:_______________________________          FAX: ___________________________________           

MOBILE:______________________________        EMAIL: __________________________________       

ACTCA or Relevant State MEMBERSHIP NUMBER:________________________________________  

I / We wish to apply for membership to the A.C.T. & District Staffordshire Bull Terrier Club Inc and agree to abide by the Constitution and Ethics of the Club.


SIGNED:____________________________________         DATED:___________________________       


MEMBERSHIP:     Family $30        Dual $25         Single $20      Please note that Overseas subscriptions

                                                                         (Please circle one)                                      need to be in Australian Dollars




BREEDERS DIRECTORY:                        $10 Members 

(NB. Details for this are taken from the above information; please specify if you do not want a contact mentioned)

STUD DOG DIRECTORY:                        $10 Members (per dog)         

(Please supply a 3 Generation Pedigree & Stud Dog’s colour and Date of Birth)

PUPPY LISTINGS:                        $10 Phone Listing Only                        $15 Phone & Newsletter

(Please supply a 3 Generation Pedigree, DOB or Expected DOB, No of Males & Females, Colours)

MAGAZINE ADVERTISING:                        $75 Full Page – Yearly                        $25 Full Page – Casual

(Please send all details to the Editor. All ads include 2 photographs, extra photographs $10 each)

NEW TITLES:                        Listed Free, with photo $5.                        Grand Champions Free.

Cheques are to be made payable to: A.C.T. & Dist Staffordshire Bull Terrier Club Inc

Please send all remittances to: 

                  Secretary – Linda Birkeland

                   PO Box 6055

                   Lanyon LPO

                   ACT     2906


NB – If you wish to have your dog’s photograph published in the Club’s magazine, you must supply a photo of your dog which will become the property of the Club for use in the magazine. The Club reserves the right to use photographs taken on the day of the winning dogs at their shows.