Subscribe for Joint Membership 2022

First Name *

Last Name *

Street Address *

Suburb *

Postcode *

Email *

New Member *

Yes

No

Lighting Fee /Term *

Obedience Only (+20$)

Agility Only (+20$) (Must be over 12 months)

Both Obedience & Agility (+40$)

Committee

Dogs Name *

Breed of Dog *

Dog's Details *

Male

Female

Sterilised

Unsterilised

Under 6months

6 - 12 months

Over 12 months

Name Additional Member

Additional Dogs Name

Breed of Additional Dog

Details of Additional Dog

Male

Female

Sterilised

Unsterilised

Under 12 months

Over 12 months

Join PTODC Inc *

I/We apply for membership of Perth Training & Obedience Dog Club Inc. (PTODC). I understand that the subscription is from October to September. I/We agree to be bound by the rules, by-laws and Code of Ethics of PTODC and agree to abide by any decisions or directives of PTODC Inc.

Vaccination *

My dog has a current vaccination certificate signed by a veterinary surgeon evidencing that my dog has been immunised against Canine Distemper, Hepatitis and Parvo-virus;

Price

$

Payment Method

Credit Card Number*

Expiration Date*

/

Card (CVV) Code*

Card Holder Name*

Security Code*

PTODC

Joint Membership 2022 - 2023 Subscription

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