SIAMESE BREEDERS’ GROUP OF S A
Application for membership
Full name: (Dr/Mr/Mrs/Miss/Ms)
Address:
Postal Code:
Telephone No’s: (H)
(B)
Cell No:
E-mail address _________________
I/We the undersigned hereby apply for membership to the above Group
and agree to abide by the rules and regulations.
Signed:
Date:
/
/
Proposed by:
Reasons for joining the Group (e.g. Breeding, Showing etc.)
Membership fees:
Full
R 45.00
Family R 50.00
Life
R 450.00
Proof of Payment for Membership of R
Please tick the
appropriate box
is attached hereto.
Our Account details are as follows:
Siamese Breeders’ Group of South Africa, First National Bank, Durbanville Branch ,
Branch Code 210203, Call Account Number 62421676505
Return to:
Tel: Ian
(021) 712 2001
The Secretary
Marlene (021) 976 1256
Siamese Breeders’ Group of S A
29 Columbine Road, NERINA,
DURBANVILLE 7550
or fax to 086 569 6760 or email to mvandyk@xsinet.co.za