National Dog Groomers Association of New Zealand

MEMBERSHIP APPLICATION

NAME :
SHOP NAME :
ADDRESS :
CITY :
BUS.PHONE :
HOME.PHONE :
E-MAIL :
Are you currently certified with any other grooming organization? Yes No
If "YES", tell us which organization you are certified with and in what Categories (if applicable) you hold certification.
ORGANIZATION :
CATEGORIES :
I WILL BE PAYING MY ANNUAL DUES BY:
NEW $110.00 RENEWAL $60.00
Please pay by Internet Banking Bank : Westpac Account Number : 030830 0329489 00 Account Name : Groomalong
CHEQUE (Cheques to be made out to "Groomalong" which is the official bank for NDGANZ) Post TO: SHEILA MORRIS N.D.G.A.N.Z. Main West Coast Road R.D.1. CHRISTCHURCH