Membership

renew your membership

PAYMENT DETAILS

I / We would like to join the Irish Wolfhound Club of Gauteng. Please find copy of deposit slip for the amount of R200.00 (Single) /R250.00 (Family) for annual subs which includes a once off R50.00 entry fee. (Please add R20.00 for any cash deposit)

BANKING DETAILS
Standard Bank;
Fourways Crossing Branch 009953;
Acc #020015143

Please enter the amount in the space provided below.
CLUB SUBS*

Currently R 150 for individual membership or R 200 for family membership
RE-ENTRY FEE (IF APPLICABLE)*

If your previous membership has lapsed for more than 90 days a fee of R50 is payable
DONATION: RESCUE & OTHER*
TOTAL*
Please attach proof of payment / deposit slip*
Max. file size: 32 MB.
MEMBER DETAILS

Please fill in your details below:
Title & First Name*
Surname*
Postal Address*
Postal Code*
TELEPHONE (HOME)
TELEPHONE (WORK)
TELEPHONE (CELL)*
FAX NO
E-MAIL ADDRESS*
I'm looking for a:*
LIST OF DOGS OWNED
REGISTERED NAME REG. NO DATE OF BIRTH
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Membership

renew your membership

PAYMENT DETAILS

MEMBER DETAILS

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Breed Info

REGISTERED NAME	REG. NO	DATE OF BIRTH