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Membership Application or Renewal

Simply print this out and mail it together with your payment to the Secretary -
LACNSW Secretary
5/27 George St
Kingswood NSW 2747

Please circle the appropriate option:

Application / Renewal


Single - $10.00
Dual - $14.00
Associate (Outside NSW) - $10.00
Junior (No Newsletter) - $1.00



Prefix/Affix (if applicable):

Email Address:


Renewal - I/we enclose our membership renewal for the LACNSW and enclose a cheque/money order for $              


Application - I/we wish to apply for membership of the LACNSW and enclose a cheque/money order for $               . 
Please indicate which membership type here_____________  Don't forget to include the application fee.

Nominated by:____________________________signed:_____________

Seconded by:_____________________________signed:____________

Applicants Signature(s):______________________________________Date:_______

All memberships are due 30th June each year.
All cheques should be made payable to The Lhasa Apso Club of NSW.

© Lhasa Apso Club of NSW 2013 - Information or photographs from this website cannot be copied,
reproduced or used without the express permission from the website owner.

Site last updated: August 2013
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