Founded 1925
Affiliated with the Canine Control Council of Qld.
| President: Mr P Hewinson Ph: 07-38186464 |
Secretary:Mr. A (Tony) Bielby 128 Costellos Road Upper Lockyer Qld. 4352 Ph: 07 - 46305678 [email protected] |
MEMBERSHIP / RENEWAL APPLICATION
( Cross out that which does not apply )
FULL NAME (Please Print)...........................................................
ADDRESS............................................................................
.............................................................................................
PHONE.................................................E-MAIL......................................................
WEB ADDRESS..................................................................................................PREFIX......................................................
Breeders Listing Required - Yes / No
Do you wish any of the below to be listed on our web site -
Phone numbers Yes / No
E-Mail address Yes / No
Web Address Yes / No
Do you wish phone numbers to be given to enquiring members of the public - Yes / No
FEES- $15.00 Family or Dual......$10.00 Single......$8.00 Junior (under 16 years)
Members are not required to own a Fox Terrier but to have an interest in the breed
SMOOTH......WIRE...... Please mark applicable
SIGNATURE OF APPLICANT/S...........................................................
DATE: ...../...../..... Photocopies of this form are acceptable
PLEASE NOTE - The Breeders Listing is a current listing of available litters, notification of availability of puppies is required to be up to date at all times see Breeders Listing on the FTC QLD web site for information required.
Please print this form and send to the Secretary
