/ Mid-Island Cat Club Inc
Application Form for Membership
(Includes applying to renew your membership)
January 2018to January 2019 / 2018
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(Please print then circle or tick or delete appropriately)

Type of Membership:Full/Associate - Single$ 15.00

Full/Associate - Double$ 25.00

Junior (under 17 years)$ 5.00

Applicants name:
Address:
Post Code: / Phone No:
Cat Breed owned: / Cat Breed Owned:
Prefix:
Email address:
Applicants name:
Address:
Post Code: / Phone No:
Cat Breed owned: / Cat Breed Owned:
Prefix:
Email address:
We/I wish to join the MICC because:

For a copy of the NZ Cat Fancy Inc Constitution, Rules and By-laws please visit the web site

For a copy of the Club Rules and Constitution please contact the Club Secretary. Sue Ford Ph: (07) 871 9157

email: or visit http://www.societies.govt.nz/cms/banner_template/CNAME and search

567270 - THE MID ISLAND CAT CLUB INCORPORATED for a copy under documents.

By completing this application form you confirm you have read and understood the Rules, Constitutions and By-Laws of the NZCF and this Club as may be amended from time to time and without reservation agree to be bound by and submit to the same.

Name: / Name:
Signed: / Signed:
Dated: / Dated:

MICC Committee’s decision:...... Dated:......

/ Mid-Island Cat Club Inc
Registered Exhibit Entry Form
Saturday 26 May 2018
NOTE this is our 25th anniversary Silver / Posh -HIGH TEA available / Exhibit
Number
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PEDIGREE *LONGHAIR / *SHORTHAIR (*Delete one please)

(Please print then circle or tick or delete appropriately)This is Entry #of my #Entries

Male
Female
Neuter
Spay / Breed
Code / Breed Name & Colour / Cat
Kitten / Age on day of Show / Date of Birth
Years
Months
Weeks
Exhibits Name: / Regd No:
Sire: / Breed No:
Dam: / Breed No:
Owner’s Name:
Address:
Email Address:
Owner’s Regd Prefix
(if any): / Phone No:
Breeder’s Name:
Address:

Note; no vaccination certificate on Show Day, no entry, no exceptions. Some silver trophies may be awrded on the day for owners to keep.

(Refer to schedule for classes)

Open Class / Type Class
Enter Ring 1 Yes/No?
Enter Ring 2 Yes/No?
Enter Ring 3 Yes/No?
Enter Ring 4 Yes/No?

The above-named Owner/Exhibitor without reservation agrees to be bound by and submit to NZCF and Club Rules, Constitutions and By-Laws as may be amended from time to time.

I/We further agree to allow publication of my/our name, and address in the on sale Show Catalogue. (Delete if not agreed)

Signed Owner/Exhibitor:...... Dated:......

For you to say - Trainee Judges may be working at the Show. Trainee Judges can handle my cat/kitten (Delete if not agreed)

Offer to help at the Show (Tick your choices) / High tea / glass of wine $10 .00
Name: / Entry Fees (See Schedule) / $
Steward / NZCF Benching Fees* / $
Handler / Catalogue ($6.00) / $
Scribe / Advertising ($8.00) / $
Other (Suggest) / TOTAL for this entry / $
*Pay on First Entry only
Payment to: Mid-Island Cat Club: Westpac 03-0418-0101837-00 - Reference = your name. Email confirmation to Entry Clerk
MICC USE ONLY / Receipt # / Overpaid Cr / To Pay Dr
/ Mid-Island Cat Club Inc
Companion Entry Form
Saturday 26 May 2018
Note there are three rings for Companions. / Exhibit Number
––––––––––

NOTE this is our 25thanniversary Silver / Posh -HIGH TEA available.

(Please print then circle or tick or delete appropriately)This is Entry #of my #Entries

Delete Two / Name / Colour Description / Delete One / Approx., Age
On Show Day / Date of Birth If known
Male
Female
Neuter
Spay / Cat
Kitten / Years
Registration No:
Type (Delete One): / Longhair / Shorthair
Owners name: Mr / Mrs / Miss / Ms:
Address:
Phone
Email address:
Enter These Rings / Ring #1 / Yes/No / Ring #2 / Yes/No / Ring #3 / Yes/No

Companion Exhibits will automatically be entered into all eligible classes available.

Note; no vaccination certificate on Show Day, no entry, no exceptions.

Some trophies may be awarded on the day for owners to keep.

The above-named Owner/Exhibitor without reservation agrees to be bound by and submit to NZCF and Club Rules, Constitutions and By-Laws as may be amended from time to time.

I/We further agree to allow publication of my/our name, and address in the on sale Show Catalogue. (Delete if not agreed)

Signed Owner/Exhibitor:...... Dated:......

For you to say - Trainee Judges may be working at the Show. Trainee Judges can handle my cat/kitten (Delete if not agreed)

Offer to help at the Show (Tick your choices) / High tea and glass of wine $10.00
Name: / Entry Fees (See Schedule) / $
Steward / NZCF Benching Fees* / $
Handler / Catalogue ($6.00) / $
Scribe / Advertising ($8.00) / $
Other (Suggest) / TOTAL for this entry / $
*Pay on First Entry only
Payment to: Mid-Island Cat Club: Westpac 03-0418-0101837-00 - Reference = your name. Email confirmation to Entry Clerk
MICC USE ONLY / Receipt # / Overpaid Cr / To Pay Dr
/ Mid-Island Cat Club Inc
Domestic Entry Form
Saturday 26 May 2018
Note there are three rings for Domestics / Exhibit
Number
–––––––––––

NOTE this is our 25thanniversary Silver / Posh High tea available.

(Please print then circle or tick or delete appropriately)This is Entry #of my #Entries

Delete Two / Name / Colour Description
See Schedule Chart / Estimate Age
On Show Day
Male
Female
Neuter
Spay / Years
Type (Delete One): / Longhair / Shorthair
Owners name: Mr / Mrs / Miss / Ms:
Address:
Phone
Email address:
Enter These Rings / Ring #1 / Yes/No / Ring #2 / Yes/No / Ring #3 / Yes/No

Some silver trophies may be awarded on the day for owners to keep.

Domestic Exhibits will automatically be entered into all eligible classes available.

Note; no vaccination certificate on Show Day, no entry, no exceptions.

The above-named Owner/Exhibitor without reservation agrees to be bound by and submit to NZCF and Club Rules, Constitutions and By-Laws as may be amended from time to time.

I/We further agree to allow publication of my/our name, and address in the on sale Show Catalogue. (Delete if not agreed)

Signed Owner/Exhibitor:...... Dated:......

For you to say - Trainee Judges may be working at the Show. Trainee Judges can handle my cat/kitten (Delete if not agreed)

Offer to help at the Show (Tick your choices) / High Tea and glass of wine $10.00
Name: / Entry Fees (See Schedule) / $
Steward / NZCF Benching Fees* / $
Handler / Catalogue ($6.00) / $
Scribe / Advertising ($8.00) / $
Other (Suggest) / TOTAL for this entry / $
*Pay on First Entry only
Payment to: Mid-Island Cat Club: Westpac 03-0418-0101837-00 - Reference = your name. Email confirmation to Entry Clerk
MICC USE ONLY / Receipt # / Overpaid Cr / To Pay Dr

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