OZentries

On-line Club Membership
Application Form

Following submission of your membership application details, you will be taken to the payment page and your payment will be processed online, directly to the bank.

Club & Membership Type

Club Details:

Club Name:

Membership Type:

Application Type:

Renewal New

Name:

Address:

Phone No.:

Email Address:

Specific Club Requirements:

State Controlling Body Membership No.:

Must be advised if you are a member of any State Controlling Body (e.g. Dogs NSW, Dogs Vic etc.)

Declaration:

I hereby certify that (please check box):

The details entered above are true and correct, and
I apply to become a member or renew my membership in terms of and in accordance with the conditions set out in the club's Constitution by which I agree to be bound.

Submit:

Saves your membership application details and takes you to the payment page.

Clears all personal details already entered to the form.

On-line Club MembershipApplication Form

Club & Membership Type

On-line Club Membership
Application Form