Membership Application - NSWSDWI | New South Wales Sheepdog Workers Inc

Name(Required)

First Last

Enter Email Confirm Email

Phone

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

My mailing address is the same my residential address

Residential Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

This application is for:(Required)

New Member application

Membership Renewal

Proposer Name(Required)

First Last

have spoken with the proposer, or the proposer has confirmed their support(Required)

I/we have spoken with the proposer, or the proposer has confirmed their support

Are you an Encourage Worker?(Required)

Yes

Note: Encourage workers are only eligible for a discounted rate on their first year of membership, on renewal you will pay Full Working membership fees

BY BECOMING A MEMBER/s OF NSWSDWI, I/WE AGREE TO ABIDE BY THE CODE OF CONDUCT(Required)

Agree to be bound by the Rules and Memorandum of the NSW Sheepdog Workers Inc.

A member shall not inflict verbal or physical abuse on any Person

A member shall not inflict pain nor cause willful distress to any Animal

A member shall not engage in actions or dialogue which will result in Sexual harassment or discrimination

A member shall not engage in unsportsman like conduct

A member must wear appropriate clothing and footwear when Competing.

A member must always present themselves for competition and/or official business in a state of sobriety.

I/we have read and agree to abide by the Animal Welfare Code for the Australian Sheepdog Workers and their State Members (copies can be obtained from the Secretary ASDWA or downloaded from http://asdwa.org.au/)

I / we authorise the NSWSDWI to provide my mailing and or email addresses to affiliated clubs and Members.

Yes

MEMBERSHIP OPTIONS/FEES

Life Member (Financial) - $30 (This fee goes to the Australian Body)

Encourage Worker - $70 (discounted price is for the first year of Encourage membership only) After first year, Full Working Member fee applies

Full Working and/or Voting Member - $120

Family (2 adults and their children under 18) - $115 PLUS $30 ASDWA Levy each family member

Pensioners - $80

Interstate Members - $90 (must be a financial member of the state in which you reside)

Associates Non-Working and/or Voting - $70

Prefix Registration - $10 (once only payment- Please see NSWSDWI Downloads for prefix application form)

Select all that applies

Family Membership ONLY

First Name

Last Name

Add names for family membership

Signature