Application Form

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