Application Form

Details

Please print out the form after filling it in, sign it, and send with your subscription to the Club Secretary, Christa Krey:

Or pay online: Westpac Bank  : 030531 0494759 00

NZCC Secretary
Christa Krey
55 Bruce Rd
Levin 5510
New Zealand

 

New Application   Renewal
Name
E-mail
Phone Number
(If in New Zealand)
Stud name)

Postal address
Amount To Send

NZ$25 (overseas)
NZ$15 (NZ Family)
NZ$10 (NZ Senior - single)
NZ$5 (NZ Junior).
I agree to my Name
Address
Stud Name
Phone Number
being published in Club Handbooks, Show Catalogues and in the CCCNZ Year Book
Signature