Owners' Association of Western Australia Inc



Cat Owners' Association of Western Australia Inc.

c/o 3 Watson St, Bassendean 6054

Tel: (08) 9384 2500 Fax: (08) 9384 3000

Email: coawa@

ANNUAL MEMBERSHIP APPLICATION/RENEWAL

Membership runs from 1 November to 31 October

Please print all details clearly

(New Member Application (Renewal (Membership Number__________)

Surname ……………………………………….Given Names……..............……………………..

Address……………………………………………………………...........Postcode…….…….…..

Phone…………………………........................Mobile………….……………….…………………

Email……………………………….......……………………………………………………………..

Other Governing Body you have had membership with (if Any)…………………………..……

Type of Annual Membership/Subscription:

|Ordinary Single |$50.00 |( |Ordinary Double |$70.00 |( |

|Person must be over 18 yrs |Person must be over 18 yrs |

|Pensioner Single |$45.00 |( |Pensioner Double |$62.00 |( |

|Please supply applicable pension number and photocopy of pension |Please supply both applicable pension numbers and photocopy of |

|card___________________________ |pension cards___________________________ |

|Junior Single |$33.50 |( |Junior Double |$39.00 |( |

|Please Supply DOB_____________________ |Please Supply DOB_____________________ |

|Associate |$33.50 |( | | | |

I/We agree to abide by the Constitution and Regulations of the Cat Owners' Association of Western Australia Inc., and understand that all applications for new memberships must be approved by the Administrative Committee of the Cat Owners' Association of Western Australia Inc., which meets on the first Tuesday of each month.

Signed: ……………………………………………………………Date:……………………………

Signed:………….…………………………………………………Date:……………………………

Age (if under 18)…………Signature of Parent/Guardian………………………………………..

PLEASE NOTE: ACCEPTANCE OF MEMBERSHIP DOES NOT AUTOMATICALLY CONFER ACCEPTANCE OF CAT/S; APPLICATION TO TRANSFER CAT/S TO COAWA (INC) IS REQUIRED. PLEASE ATTACH COPY OF YOUR CAT/S REGISTRATION WITH YOUR APPLICATION,

Bank Direct Number 016 255 a/c 1989 69887

Pedigree Cats:

Cattery Prefix - Existing……………….………..Breed(s) of cat(s)……………………………..

Registered With ……………………… or ( Applied For - Application Form & Fee Attached

Prefix and Name of Cat(s)………………………… ……………………………………………..

Name of Breeder(s) ……..………………….……………………………………………………..

Have the Cat(s) been previously registered? Yes ( No ( If yes name of registering body ……………………… Breeding ( Non Breeding (

Are You interested In Showing YES ( NO (

Companion cats

Name……………………………………………………….Colour…………………………………

Pattern……………………………………………..………Gender…………………….……….....

Coat Length Shorthair ( Semi Longhair ( Longhair (

Are you interested in snowing your companion YES ( NO (

All Members

Do you have any skills, which could be useful to this organisation such as office work, stewarding, show organising, typing, computing, signwriting, cooking, sewing, etc?

YES ( NO (

Renewing Members – Notification of Retired or Deceased Cats

In line with Breeding and Registering Rules for Pedigree Cats (10.8), please identify any cats that have been retired or deceased since your previous renewal:

|Cats Full Name |Gender |Registration No |Date of status change |

| | | | |

| | | | |

| | | | |

| | | | |

Office Use Only

Mem No: Year: Adcom Approved: Card Typed: Card Issued: Pack Issued:

Distribution: Original — Recorder Copy, Adcom Secretary Copy – Paws Awhiie Editor if Breeders Box required.

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