Subscribe for Single 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

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

Single Membership 2022 - 2023 Subscription

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