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PREFIX APPLICATION FORM
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Member of the World Cat Congress |
DATE OF APPLICATION: |
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SECTION A: Please answer all questions and print clearly. |
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CHRISTIAN NAME(S): SURNAME: |
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POSTAL ADDRESS:
STREET ADDRESS (if different):
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PHONE: |
EMAIL: |
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NAME OF REGISTERED BREEDING CAT: |
NAME OF BREED(S): |
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PREFIX CHOICES IN ORDER OF PREFERENCE:
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1. |
2. |
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3. |
4. |
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SECTION B: |
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I/WE believe .............................................................. to be of good character and a suitable person(s) to hold a prefix registered with the NZCF. (NB: This must be signed by three current NZCF Registered Prefix Holders.)
1…………………………..…………………………….. Prefix: ………………………………… Date ……………………..
2……………………..………………………………….. Prefix: ………………………………… Date ……………………..
3…………………………….…………………………... Prefix: ………………….……………… Date …….……………….
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NZCF CLUB SUPPORTING APPLICATION:
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SIGNATURE OF CLUB SECRETARY: |
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SECTION C: |
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DECLARATION: "I/We consent to be bound by and submit to the Constitution, Disputes & Discipline Procedures, By-Laws, Rules and Breeders Code of Ethics of the New Zealand Cat Fancy Incorporated and the Club as may be amended from time to time."
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Signed: |
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TOTAL ENCLOSED: (See over for payment details.) |
$85.00 |
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All applicants please sign and return whole form to: NZ Cat Fancy Inc c/- Chris M Lowe EC Secretary 43 Walker Road West RD2 Katikati 3178 |
Office Use Only: NZCF Membership No. ……………………… Receipt No: ……………………………… Supplied With: INFORMATION SHEET SHOW RULES & BY-LAWS CODE OF ETHICS
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Please make cheques payable to NZ Cat Fancy Inc.
Internet Transfer: TSB Bank #153945-0265474-00 and use the following reference details when processing the transaction: Members Name, the word “Prefix” to denote the payment type.
For payment by Credit Card, please fill in the details below.
Note: We cannot accept American Express or Diners Club Credit Cards.
Type of Credit card (eg Visa, Mastercard, etc):
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Name of card holder on card: |
Card Number:
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Expiry date: |
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Tags: application form, world, congress, prefix, member, application