2024 Membership Application Please enable JavaScript in your browser to complete this form.Name *Please complete both names in this field for Couple or family Membership (Adults)Address *Suburb *StatePost Code *PhoneMobile *Email *Previous Member Number (if known)Membership Type *NewRenewalI/We would like to join as a *Single - $ 45.00Couple - $ 65.00Family - $ 80.00Junior U/16 - $ 25.00Non Competitive - $ 15.00All Memberships include ASSA MamebershipChild 1 - Name / Age / Date of Birth (copy)Child 2 - Name / Age / Date of BirthChild 3 - Name / Age / Date of BirthChild 4 - Name / Age / Date of BirthDog breeds *How did you hear about the club ?Special skills you could offer the clubClub activities of interest eg. Weightpull, Racing, Bikejoring or otherAgreement *By submitting this electronic form I/We agree to be bound by the rules and constitution of the South Australian Sled Dog Club and by the rules and constitution of the Australian Sleddog Sports Association.SignatureClear SignatureTotal$ 0.00Payment to be made by EFT to: BSB 105056 Account No. 095500840. Membership and initials as reference. Thank youDate Submit
