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West Highland White Terrier Club of Vic

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					West Highland White Terrier Club of Vic. Inc. BREEDERS LIST APPLICATION FORM NAME……………………………………………………………………………………… ADDRESS………………………………………………………………………………… TOWN……………………………………………………P.CODE………………………. PHONE NUMBER (BH)………………………………..(AH)…………………………… REGISTERED PREFIX…………………………………………………………………… VCA MEBERSHIP NUMBER…………………………………………………………… EXPECTED NUMBER OF LITTERS PER YEAR……………………………………… The following Conditions apply to all members adverting on the Breeders List. Any member found in breach of these conditions will be removed from the list and is subject to disciplinary action from the club. 1. The current VCA code of ethics must be strictly adhered to. 2. The Breeder must provide the purchaser with all documentation required by the VCA, including registration papers, dietary and vaccination requirements. 3. The Breeder must provide the purchaser with a signed sales agreement ( the VCA agreement of sale document being the minimal requirement) 4. The Breeder must provide the purchaser with a West Highland White Terrier Club of Victoria membership application form. 5. The breeder must keep accurate records of all Puppy sales including names and contact details of purchasers. Advertising cost is $50 per annum I have read and accept these conditions Signed……………………………………………………..Date……………………… Please attach a 25 – 30 word advertisement that will be published in the Westie Watch and will also be published on the club Web site This completed form accompanied with a fee of $50 should be forwarded to the Secretary: Mary-Ann O’Reilly 575 Ghaazeepore Rd Mt Duneed 3216 Your application will be processed at the next general meeting of the West Highland White Terrier Club. The committee actively encourage you to attend this meeting.

Club Use only Date Received…………………… Meeting date…………………….. Member in attendance…………… Accepted………………………………Signed………………………………………