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6040755-207645 CatsWA (Feline Control Council of WA Inc). MEMBER BODY OF AUSTRALIAN CAT FEDERATION (INC).GPO Box 915 Cannington WA 6107Email: catsWA@.au PREFIX APPLICATION Annual Renewal is due on the 1st November each yearFirst NameSurnameFirst NameSurnameResidential AddressPostal Address (If different from residential)MobileHome PhoneEmailMembership NumberPension NoPrefix NameAre you transferring from another AssociationYes No Association:Have you held a Prefix previouslyYes No Prefix previously heldDECLARATIONI/We hereby apply for a Breeding Prefix with CatsWA or to Transfer from another registering body. The Prefix application will be sent to the National Register for approval.I/we agree to be bound by the Constitution, Rules, Regulations and Code of Ethics of CatsWA as determined from time to time by the Governing Council of CatsWA.I/We make this renewal on the understanding that I/we are required to register all kittens in all litters bred by me/us.To remain financially current as an CatsWA registered Breeder each year and thereby be bound by the Constitution, Rules, Regulations and Code of Ethics of CatsWA and as determined from time to time by the Governing Council of CatsWA and of any decisions of the Management Committee. I/We have read, understood, and agree to abide by the Code of Ethics for Breeders and the Code of Ethics for Members.Signed : _______________________Signed : ______________________Date : _________________________Date : _______________________NEW/TRANSFER PREFIX Four (4) names in order of preference are to be submitted on the application form and returned to the Registrar together with the prescribed fee. Select all names carefully, as prefixes will not be changed once they have been checked and approved.Prefixes shall consist of one word, no more than 10 Letters long and may not include hyphens, dashes or apostrophes. Cattery name in the form of an affix, will not be allowed e.g. “Queen of Maybury”. The cattery name must come first, e.g., “Maybury Queen”. As a guide to breeders, the following words or types of words are not acceptable as prefixes are – Christian names, town, names, jewel names, flower names or colour names. Also to be avoided are works like Misty, Haze, Star, Breeze, Moon, Purr, Puss, Kat. Prefixes must be approved and registered and no breeder may apply a prefix to a cat’s name without first having registered the prefix.1st Choice 2nd Choice 3rd Choice 4th Choice 1 YEAR $25 FORMCHECKBOX (Application fee and one year prefix registration included in this price)PAYMENT SUMMARYPlease fill the below in before submittingItemNo OfCostPrefix??$PAYMENT METHODCASH FORMCHECKBOX CHEQUE FORMCHECKBOX MONEY ORDER FORMCHECKBOX Payable to the: CatsWA (Inc) DIRECT DEPOSIT FORMCHECKBOX You must use your Surname & Membership as the description for the deposit.(We will not be able to track payments without a description. Please email a copy to the office, as no work will be done without payment being verified. )DESCRIPTION USED:_______________________________DATE OF PAYMENT:___________________BSB: 036-224 Acc No: 298699 Acc Name: CatsWA Bank: WestpacOFFICE USE ONLYMEMBER #:____________________CARD/S ISSUED: YES FORMCHECKBOX NO FORMCHECKBOX RECEIPT #:_________________AMOUNT PAID:_________________ PAYMENT METHOD______________________ DATE:__________________ SIGNED:____________________Updated September 2018 ................
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