Ansuchen um Aufnahme in den - Chow-Chow

Application formular to join the
www.chow-chow-club.at
I would like to join the Chow-Chow-Club Austria and declare to respect the articles and the
breeding rules (for Austrian members only).
Dog’s owner’s name: ________________________________________________________
Date of birth: _______________________________________________________________
Address: ___________________________________________________________________
Phone / e-mail:
/ _________________________________
Website: ___________________________________________________________________
Dog’s name: _______________________________________________________________
Sex: _________________________________ Colour: _____________________________
Registration number: __________________ Date of birth: ________________________
Attracted by: _______________________________________________________________
( ) Annual member’s fee (home & foreign countries) €
22,00 *)
( ) Annual member’s fee family member
11,00
€
*) free for the year you buy your Chow-Chow
_________________________
Date
_________________________
Signature
Please forward your application to the secretary of the CCCA:
Mrs. Verena Freiberg, A 2285 Leopoldsdorf, Fasangasse 90,
[email protected]