Application Forms

Catz Inc Membership Application

Your Name

Postal Address

 

Street

Suburb

City

Street Address Same as above

Street

Suburb

City

Phones

 

Phone

Fax Number

EMail

Web Site

Catz Prefix(s) applied for

Separate with a comma:

Name of cat being registered


$5:00 Pedigree Companion

I wish to Join Catz Inc as a ..


$25.00 Full Ordinary
$15:00 Secondary (Same Household)
$10:00 Associate
$10:00 Junior

   

I am already a member of a Catz Inc affiliated club.

Enter the Club you are a member:
$10:00 City of Sails [Auckland]

$10:00 Nine Lives [Waikato Area]

Full Ordinary Secondary Associate Junior

Enter your Membership Number:

  Add your Registration fee, Catz Membership fee and your affiliated club fee's together and select method of payment.
Payment

  1. Your credit card will be charged with the $ amount.
    If your card details have changed contact: Registrar: June Mateer (09) 576 8128.
  2. Post your cheque to: Catz Membership Director details at bottom of form.
Notes

Record any details of secondary members here or any questions you may have for the Membership Director:

Privacy Act

Catz Inc. is bound by the provisions of the Privacy Act of New Zealand, relating to all personal information. Information collected by Catz Inc. will only be utilised to conduct the business of the organisation and will not be divulged to a third party unless authorised by the person providing the information.
Please tick information you allow to be released:

Name / Address

Yes No

Telephone / Email

Yes No

Prefix

Yes No

Website address

Yes No
   

Declaration

By submitting this application you agree to be bound by the Constitution and Regulations of Catz Incorporated as may be amended from time to time.

Click Here to submit the form:

 

All completed forms and cheques to be sent to:
Membership Director,
119 Vipond Road
Stanmore Bay
Whangaparaoa 0932


Last updated January 2007