AUSTRALIAN PERENDALE ASSOCIATION INC.

ANNUAL MEMBERSHIP SUBSCRIPTION

SUBSCRIPTIONS TO 31st March next year ARE DUE ON 1st April this year!

FEES MAY BE PAID DIRECTLY

Fees can be paid into the Bendigo Bank BSB 633‐000 Ac No. 173364464

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PERSONAL DETAILS

NAME

ADDRESS

STATE

POSTCODE

TELEPHONE

MOBILE

CROSS BREEDING

PLEASE STATE THE BREED USED FOR CROSS BREEDING

STUD PERENDALES

Rams	Ewes	Number

FLOCK PERENDALES

Rams	Ewes	Number

PERENDALE X

Rams	Ewes	Number

ROMNEY X CHEVIOT

Rams	Ewes	Number

OTHER EWES MATED TO PERENDALES

SUBSCRIPTION FEES

ANNUAL MEMBERSHIP [$50.00 PER ANNUM]

ANNUAL JUNIOR MEMBERSHIP [$25.00 per annum]

MEMBERSHIP JOINING FEE $25.00

APA ADVERTISING LEVY, UP TO $50

TOTAL DUE

Payment method

Cheque Direct Deposit

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