Apply & renew online

Membership application and renewal form

Your details

First name *

Last name *

Phone *

Email *

Address *

Address

Address

Address

Suburb

Suburb

State

State

Postcode

Postcode

Country

Country

Family members

Additional family member name

Add another family member Remove

Dogs West Membership

Are you a Dogs West Member? *

Yes

No

Dogs West membership number

Details of your Bernese

Pet name *

Dogs Pedigree name

Microchip Number

Date of birth *

Sex *

Female

Male

Breeders name *

Add another dog Remove

Payment

Membership class *

Single membership $25 per year - (1 AGM Vote per membership)

Family membership $30 per year - (1 AGM Vote per family membership)

I'll pay online *

Yes

No

Credit Card

Please transfer your payment to
BSB: 036-004
Account: 137068

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