MEMBERSHIP APPLICATION – 2018

I hereby wish to apply for renewal of my membership of the New South Wales Sheep Dog Workers Inc., and in consideration of your acceptance of my membership application. I hereby agree to observe and perform, and in all ways respect and comply with the provisions of the Incorporates Memorandum and Articles of Incorporate.

I am aware that my membership will be subject to the provisions of the Incorporates Memorandum and Articles of Incorporate and be for the period of the current calendar year and that the subscription is per annum, this is due to be paid on 1st of January each year. If payment is not received by 31st March, my membership will cease. NSWSDWI may contact other states to check on membership status of members.

BY BECOMING A MEMBER OF NSWSDWI I AGREE TO ABIDE BY THE CODE OF CONDUCT

  • A member shall not inflict verbal or physical abuse on any Person
  • A member shall not inflict pain nor cause willful distress to any Animal
  • A member shall not engage in actions or dialogue which will result in Sexual harassment or discrimination
  • A member shall not engage in unsportsman like conduct
  • A member must wear appropriate clothing and footwear when Competing
  • A member must always present themselves for competition and/or official bushiness in a state of sobriety.

“I have read and agree to abide by the Animal Welfare Code for the Australian Sheepdog Workers and their State Members (copies can be obtained from the Secretary ASDWA or downloaded from ”)

Are you an Encourage Worker - YES or NO (Please Circle)

Encourage Worker - $50:00 pa (until encourage status is broken)

Life Member (Honorary or Financial) - $30:00 pa (This fee goes to the Aust. Body)

Full Working and/or Voting Member - $95:00 pa

Family (2 adults and their children under 18) - $105 pa PLUS $30:00 pa ASDWA

Levy each family member

Junior - $60:00 pa

Pensioners - $60:00 pa

Interstate Members - $65:00 pa (must be financial members of

their own state)

Non Working and/or Voting Associates - $60:00 pa

Prefix Registration - $5:00(once only payment)

APPLICANT______PROPOSER______

ADDRESS______POSTCODE ______

PREFERRED TELEPHONE CONTACT NUMBER ______

EMAIL______

I agree to be bound by the Rules and Memorandum of the NSW Sheepdog Workers Inc and authorise the NSWSDW to provide my mailing details to affiliated clubs and Members. PLEASE MAKE CHEQUES PAYABLE TO NSW SHEEPDOG WORKERS INC.AND SEND TO J Fessey Treasurer-1547 Belgravia Road,MOLONG NSW 2866 Phone: 0418 637 641 or by Direct Debit BSB 062 573 Ac No. 28007533 and email signed form to SIGNED______DATE______