German Shepherd Dog Federation of South Africa

 

Membership Application

Please note that all fields marked *Required need to be completed.

click here for Membership fees and Banking details

Surname *Req
Initials *Req
First Name *Req
Title *Req
Identity number *Req
   
Membership type: *Req

(Single, Family, Junior, Coporate)

  Contact Addresses:

 Postal address:

Residential  address

 Street and number

Street: and number

*Req

*Req

Suburb Suburb

*Req

*Req

Town

Town

*Req

*Req

Postal code: Postal code:

*Req

*Req

Contact Numbers:

Home:

Work:

Telephone: *Req   Telephone:
Fax:   Fax:
Cell:   Cell:
Email: *Req   Email:
Were you previously a GSDFSA member ?

     Yes   

  No
If yes, state the last paid up year  YYYY

  

Are you a member of any local club(s)?

  

If yes state the name(s) starting with the main club:

  

For your record print prior to Sending   print this page

The form is addressed to the GSDFSA. (info) and includes a date stamp

Declaration:  I, herewith declare that I have read and understand the membership rules as shown as the attachment of this Membership form. I accept that this application is subject to the acceptance of the GSD Federation of SA and, if accepted, I undertake to abide by the constitution of the GSD Federation of SA and its rules and regulations. I accept that a portion of the above membership fee may be paid to bodies, which the GSD Federation is affiliated to.

I (We) accept  

In order to block spam please retype the letters below:

 
The CAPTCHA image

 

 

Other messages

 

LEDECK SYSTEMS - MARKETING AND MAINTENANCE