PO Box 108, Goodwood SA 5034

AUSTRALIAN DORPER & WHITE DORPER ASSOCIATION

PO Box 108, Goodwood SA 5034

Secretary – Mr Rob Martin

Phone: (08) 8210 5229 l Fax: (08) 8231 4173 l Email:

Date of Issue: / TAX INVOICE
Total of Payment: / $ / ABN: 74 202 628 380
Payment Method: / Cheque or EFT

Dear Member,

Please complete the below information and return with payment to the Secretariat with your registration and/or transfer papers. Please ensure to record the date of issue and payment details above and retain this section for your taxation purposes. Extra forms can be obtained from the Secretariat or downloaded from the website www.australiandorper.com.au.

** All prices are GST inclusive.

PLEASE RETAIN THIS SECTION FOR TAXATION PURPOSES

" cut off and return with payment to:

Australian Dorper & White Dorper Association

PO Box 108, Goodwood SA 5034

Phone: (08) 8210 5229 l Fax: (08) 8231 4173 l Email:

STEP 1: PLEASE CALCULATE YOUR REGISTRATION/TRANSFER PAYMENT

REGISTRATION COST (GST incl)
Quantity / Process / Electronic Submission / Paper Submission / Total
STUD RAM REGISTRATION / $6.60 per registration / $12.10 per registration / $
STUD RAM TRANSFER / $6.60 per transfer / $12.10 per transfer / $
STUD RAM REGISTRATION & TRANSFER / $13.20 per ram / $18.70 per ram / $
STUD EWE REGISTRATION / $1.10 per registration / $6.60 per registration / $
STUD EWE TRANSFER / $6.60 per transfer / $12.10 per transfer / $
STUD EWE REGISTRATION & TRANSFER / $7.70 per ewe / $13.20 per ewe / $
APPENDIX EWE REGISTRATION / $1.10 per registration / $6.60 per registration / $
APPENDIX EWE TRANSFER / $6.60 per transfer / $12.10 per transfer / $
APPENDIX EWE REGISTRATION & TRANSFER / $7.70 per ewe / $13.20 per ewe
SEMEN TRANSFER / $6.60 per package / $12.10 per package / $
EMBRYO TRANSFER / $6.60 per package / $12.10 per package / $
TOTAL PAYMENT DUE: / $

STEP 2: MEMBERSHIP DETAILS

MEMBERSHIP NAME:
STUD PREFIX: / ADWDA FLOCK NUMBER:

STEP 3: PAYMENT DETAILS

Cheque Made payable to Australian Dorper & White Dorper Association

Direct Deposit Account Details – National Australia Bank

Account Name: Australian Dorper & White Dorper Association BSB: 085-005 Account No: 18617 2643

Please place your surname in the reference line & complete the below details so payment can be easily identified.

Payments can also be notified via email to .

REFERENCE: / AMT PAID: / $ / DATE PAID:

STEP 4: REGISTRATION/TRANSFER FORMS

Please make sure you attach or enclosed the corresponding registration/transfer forms for the details and payment shown above.