Membership Form

The Soft Coated Wheaten Terrier Society of NSW Inc.


I/We ______________________________________________________________________________


of (address & postcode) ______________________________________________________________

apply to join The Soft Coated Wheaten Terrier Society of New South Wales Incorporated. On joining I/we agree to be bound by the rules of the association.


Signature of Applicant/s ญ_______________________________________________________________


Phone Contact Numbers ______________________________________________________________


Email Address _______________________________________________


NSWCC membership? Yes / No Membership number: _____________________


Owner of a SCWT? Yes / No Registration Number: _____________________

(required for count of 'owner members' for Dogs NSW Affiliation)



I second the nomination of the applicants who are personally known to me, for membership of the Society.


Signature of Proposer ญญญญญญญญญญญญญญญญญญญญ___________________________ Date ___________



I nominate the applicants who are personally known to me, for membership of the Society.


Signature of Seconder ญญญญญญญญญญญญญญญญญญญญ___________________________ Date ___________


Single membership $ ________ for year 200__/__ Dual/Family membership $ ________ for year 200__/__

Cheques should be made payable to The Soft Coated Wheaten Terrier Society of NSW Inc

Please forward Membership Applications to:

The Secretary
Soft Coated Wheaten Terrier Society of New South Wales
38 Rosebery Road
Killara, NSW, 2071