Poodle Club Member application
The Poodle Club of Queensland Inc.
Membership application / renewal
(Affiliated with Dogs Queensland)
ABN 607 346 94918
www.poodleclubofqueenslandinc.com
Financial year 2026 /2027
Renewals must be lodged not later than 31/10/26 to fulfil membership status at the AGM. New members must have been ratified at a General club meeting and a financial member for the preceding 3 months prior to the end of the reportable financial year to allow VOTING or NOMINATION at the AGM.
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Payment is via Direct deposit into club account: HERITAGE BANK – PCQ Inc. BSB 638070 A/c 13051776 Reference using your name, send deposit proof to Secretary – [email protected]
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Membership fees please tick relevant box: [ ] NEW SINGLE DQ MEMBER application $32 [ ] Yearly RENEWAL DQ Single member $27 [ ] NEW SINGLE “limited” application $20 [ ] Yearly Renewal“Limited”member $15 [ ] NEW DUAL DQ MEMBER application $37 [ ] Yearly Renewal DUAL MEMBER $32 2 adult members same address [ ] Advertising - Web/newsletter / catalogue/ show schedules -------------------------------- $5 Please note: if a fully Dogs QLD registered member and compete in showing or sports, then application to join club is at full rate. If joining as a single “Limited” member this confers club only membership with no voting rights. |
By completing both sections of this form and signing I/we agree to be bound by the code of conduct and constitution of both Dogs Queensland and The Poodle Club of QLD Inc. I/we are not suspended by any canine controlling body in Australia or overseas.
I would like to become a FULL COMPETING member of The Poodle club of Queensland Inc. [ ]
I would like to become a “Limited” member of the club [ ]
I am a current member and now renewing my yearly membership [ ]
Signed____________________________________ DATE__ /___/____
PROPOSED BY_____________________________ Second BY______________________________
Current Full club member current Full club member
PLEASE PRINT
NAME:_Mr/Mrs/Ms/ Miss/ Title._____________________________________________
ADDRESS:______________________________________________________
PHONE:__________________EMAIL:__________________________________
WEBSITE:________________________________________________________
STATE Affiliation Number & State:____________________________________
BIN number (if different from registration number):_______________________
CLUB MEMBER number:________________ (allocated after ratified as a club member)
POODLE VARIETY: [ ] Standard [ ] Miniature [ ] Toy
POODLE COLOUR: As per pedigree ->
[ ] Black [ ] White [ ] Cream [ ] Brown [ ] Blue [ ] Silver [ ]Apricot [ ] Red
BREEDER PREFIX:_______________________________________
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THE POODLE CLUB of QLD Inc. Media Release Form In completing this section of the form I/we request to have details inserted on the club website/ Facebook pages, as a [ ]GROOMER [ ] BREEDER. Allow photo of myself [ ] or Poodle [ ] or both, detailing results from conformation or sporting, or other events, to be used as advertising and promotion for the club. The fee as shown on the first page needs to be paid for this advertising.
SIGNED: __________________________________ DATE:___/___/_____
OFFICE USE ONLY: Date received payment__/___/____ Amount $___________Cash[ ] DD [ ] Date Ratified_____/____/____ Receipt number____________ |