TRACKING CLUB OF VICTORIA INC
Membership Application for calendar year 1 January - 31 December 2018
DUE DATE: 1 FEBRUARY 2018 NB[1]
TitleFirst NameLast NameDV(or other ANKC Member Body)Membership No.
…….………………………...…………………………………………………………………………
TitleFirst NameLast NameDV(or other ANKC Member Body)Membership No.
…….………………………...…………………………………………………………………………
If Family Membership please attach list of any further Applicantsand note thatConstitution Rule 14.2 mandates that all persons less than 18 years of age and all Junior Members whether individual members or Family Membersmust be underparental/guardian supervision whilst attending the Club.
Contact Details
Street Address...... ……………….…City/Town:......
State...... Post Code...... Country (if not Aust.)…………………email………...... ………
Telephone Business hours Mon-Fri…………………………Weekends/after hours ………………………………
Dog(s) currently or intending to trial this membership year please attach list if insufficient space
Name / Approx Age / M/F / Breed / Tracking LevelSCHEDULE OF SUBSCIPTION FEES
Existing MembersNew Members
Renewal SubscriptionInitial Subscription
Single Member$30.00$45.00
Family Membership$55.00$70.00
Junior Member $20.00$35.00Subscription$......
PURCHASE OF HARD COPY NEWSLETTER$10.00
(Optional. Email version is included in Subscription) Track On$......
I/WE (i) Understand that: Total $......
a)the Committee may accept or reject a membership application;
b)Tracking activities can potentially be hazardousand acceptpersonal responsibility to take due care
(ii)Agree to
a)become familiar with the TCV Statement of Risk and Safety Procedures at Tracking Trials and Track & Search Trials
b)be bound by the Constitution and Rules of the Tracking Club of Victoria Inc A0026595M (the Club) and tocomply
with procedures codes of conduct and guidelines established or adopted by the Club,
(All Applicants to sign, if Junior Membership- Parent to sign)
Signature Of Applicant...... Dated......
Signature Of Applicant...... Dated......
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EFT Payments to: Tracking Club of Victoria. BSB 633108 Account 139235683
If paying by EFT a Membership Application must also be submitted in writing or by email to:
Date of EFT ……………………Amount $...... EFT Receipt No. ………………………………
Please complete and return with payment to: The Membership Officer
Tracking Club of Victoria
7 Ablett Court,
Frankston South, 3199
Date Application Recorded ……...... Receipt No…………......
1
[1]The rights of a Member are suspended if the Annual subscription is not paid by the Due Date, including but not limited to the right to vote
and the right to recognition for Club Awards of trial passes obtained during the suspension period.Ref Rule 12.5
A member is taken to have resigned if the annual subscription has not has not been paid within 60 days of the Due Date. Ref Rule 18.2