New membership Application

New Membership Application Form

I/We (please list all names) *

Address *

City/Town *

Postcode *

State *

Email Address *

Phone *

I /We wish to apply for membership of the German Shepherd Dog Club of Queensland Inc.
I/We undertake to abide by all the rules and regulations presently in force and subsequently enacted, of the Constitution of the German Shepherd Dog Club of Qld Incorporated.
(By ticking the acceptance box below ALL parties agree to the membership declaration) *

I/We ACCEPT and agree to the terms of the GSDCQ Declaration Statement (above)

Please indicate if you have you been a member in the last 5 years ?
(Half year membership not applicable if you have)

No

Yes

Membership Category you wish to apply for *

Full year (1 Oct-30 Sept) with 4 National Review magazines

Half year (1 April - 30 Sept) with 2 National Review magazines

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Membership Renewal Form

Membership Renewal Form

I/We (please list all names) *

Address *

City/Town *

Postcode *

State *

Email Address *

Phone *

Membership Category for renewal *

Full year (1 Oct-30 Sept) with 4 National Review magazines

I/We wish to renew my/our membership of the German Shepherd Dog Club of Queensland Inc for Membership Renewal.
I/We undertake to abide by all the rules and regulations presently in force and subsequently enacted of the constitution of the German Shepherd Dog Club of Queensland Inc.
(By ticking the acceptance box below ALL parties agree to the membership declaration) *

I/We ACCEPT and agree to the terms of the GSDCQ Declaration Statement (above)

PAYMENT - Please complete your payment details for processing
Name on Credit Card *

Title *

Mr

Mrs

Ms

Credit Card Type *

Visa

Mastercard

Credit Card Number *

Expiry Date *

(mm/yy)

Security CVV Number *

(3 digits on back of card)

Amount to be debited ($) *

Enter the amount you will be paying

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Puppy Listing and Adult Dog Listing

Puppy Listing and Adult Dog Listing

Breeder's name *

Phone *

Mobile

Email Address *

Kennel Prefix *

Kennel Location (suburb, town, city) *

BIN #

Sire (must be breed surveyed & AZ Hips & Elbows) *

Dam (must be breed surveyed & AZ Hips & Elbows) *

Litter Whelped

List date born (dd/mm/yy)

Expected Whelping Date

List date litter anticipated if not yet born (dd/mm/yy)

Number of puppies to be listed

Males

Male Long Coats

Females

Female Long Coats

Listing Date *

(dd/mm/yy)

PUPPY LISTINGS CRITERIA
The breeder must be a financial member of the German Shepherd Dog Club of Queensland.
The Sire and Dam MUST be Breed Surveyed and have the ‘A’ and ‘Z’ stamp.
The entire litter must be vaccinated, either tattooed or micro chipped and registered with the Kennel Control in the State.
Diet Sheet, Pedigree and Vaccination card must accompany each puppy sold.
Adults over 18 months must have ‘A’ and ‘Z’ Stamp

I Agree to abide by the above listing criteria declaration

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Stud Dog Directory Application Form

Stud Dog Directory Application Form

Name *

Address *

Phone *

Mobile

Kennel Prefix *

Email Address *

Website/URL

format required: http://www.website.com.au

Stud Dog Name *

Sire *

Dam *

Breed Survey Classification

Class I

Please list all other titles or relevant information ie (Imp) 'a' or HD-ED *

PAYMENT
Please complete your payment details for processing
Name on Credit Card *

Title *

Mr

Mrs

Ms

Credit Card Type *

Visa

Mastercard

Credit Card Number *

Expiry Date *

(dd/yy)

Security CVV Number *

(3 digits on back of card)

Amount to be debited ($) *

Enter the amount you will be paying

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Breeders Directory Application Form

Breeders Directory Application Form

Name *

Address *

Phone Number *

Mobile

Kennel Prefix *

Email Address

Website/URL

format required: http://www.website.com.au

PAYMENT
Please complete your payment details for processing
Name on Credit Card *

Title *

Mr

Mrs

Ms

Credit Card Type *

Visa

Mastercard

Credit Card Number *

Expiry Date *

(mm/yy)

Security CVV Number *

(3 digits on back of card)

Amount to be debited *

Enter the amount you will be paying

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