Membership Form

Membership Type*

Please note - Membership will not be processed until payment has been received

Pension Membership (Please upload copy of your card)

Name*

Name (Joint Memberships)

Address*

Phone*

Phone (Joint Memberships)

Email*

Are you a Member of a ANKC State Body? Which one?

If you are a Member of a ANKC State Body, please provide your Membership Number.

What events are you interested in?

If you were introduced by a Club Member, please list their name.

ANKC Breeders

Please fill out the following questions.

Your Prefix and Membership number.

Website

Club Directory

Advertising on the Club Website is free of charge! Please fill in the forms listed below for your advertising requirements. The below links will open in a new window, please feel free to open whilst filling in this form.

Breeders Listing

Stud Dog Listing

Upcoming Litter | Litter Listing

* Please note: The Club does have requirements for advertising and your details may not appear if you do not fulfil these requirements.

All Membership Applicants please read.......

By clicking send below:

I/ We wish to put forward my/ our names for membership/ renewal of membership to the American Staffordshire Terrier Club of QLD Inc. I/ We undertake to abide by the Code of Ethics of the American Staffordshire Terrier Club of QLD Inc. at all times. We understand that we/ our Membership will not be processed until funds have arrived in the Club bank account.

Club Bank Account Details:

Account Name: American Staffordshire Terrier Club of QLD Inc.

BSB: 064 413

Account: 1015 3583

Please use your surname as the reference.

Nominated by:__________________		Seconded by:__________________

Date Approved/ Declined:____/____/____		Membership Pack Sent:____/____/____