PREFIX APPLICATION FORM MEMBER OF THE WORLD CAT CONGRESS

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New Zealand Cat Fancy Inc:

PREFIX APPLICATION FORM MEMBER OF THE WORLD CAT CONGRESS


PREFIX APPLICATION FORM


Member of the World Cat Congress

DATE OF APPLICATION:

SECTION A: Please answer all questions and print clearly.

CHRISTIAN NAME(S):

SURNAME:

POSTAL ADDRESS: 


STREET ADDRESS (if different):


PHONE:

EMAIL:

NAME OF REGISTERED BREEDING CAT:

NAME OF BREED(S):

PREFIX CHOICES IN ORDER OF PREFERENCE:


1.

2.

3.

4.

SECTION B:


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 …….……………….


NZCF CLUB SUPPORTING APPLICATION:


SIGNATURE OF CLUB SECRETARY:

SECTION C:

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."


Signed:

TOTAL ENCLOSED: (See over for payment details.)

$85.00

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


Payment details


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):



Name of card holder on card:

Card Number:



Expiry date:




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Tags: application form, world, congress, prefix, member, application