Name:………………………………………………………………………………………………………
(Insert APPLICANT’S name)
Address:……………………………………………………………………………………….
…………………………………………………………………………………………………
…………………………………………………………………………………………………
(insert APPLICANT’S residential or postal address -required under section 27 of the Associations Incorporation Act (1987))
Phone Number:………………………………………Mobile Number:……………………………………..
Email Address:…………………………………………………………………………………………………
Dingo Name(if you have one):…………………………………………………Date of Birth or Age:…………….
Sex:Male/FemaleMicro chipped:Yes/ No Microchip Number (if Known):……………………
apply to become a member of the above Association.
If my application is accepted, I agree to be bound by the rules of the Association. I have read, understood and signed separately the Code of ethic of the WA Dingo Association Incorporated (attached) and I fully understand that any breach of these rules and or Code of ethics may result in the termination, suspension or expulsion from membership of the Association or reduction from Full Member to status of Associate member. I have included my annual Full Membership fee of $30.00 Cheque or money order (Refunded if application is unsuccessful) made payable to: WA Dingo Association Incorporated or proof of electronic payment (subject to verification)
Signature:………………………………………….Date:…………………………………………………
PLEASE PRINT A COPY & FORWARD TO:
Postal address:Banking Details for Direct Transfer.
WA Dingo Association Incorporated Acc Name =WA DINGO ASSOCIATION INCORPORATED
C/O 171 High Road, Willetton. WA. 6155. BSB Number = 036-080
Acc Number = 37-5738
PLEASE NOTE:MEMBERSHIP RENEWAL FEE - DUE 1ST JULY EACH YEAR
Rule 5(2) “A person who wishes to become a member must be … proposed by one member and seconded by another member.”
Other: That nomination will then become a motion for application approval and must be passed by 75% in favour by secret ballot of Association members present at the next general meeting immediately following the initial application.
Office use only:
PROPOSED:SECONDED:
Name:…………………………………………Name:……………………………………………….
Signature:……………………………………Signature:…………………………………………
Date:…………………………………………… Date:…………………………………………………
______Applicants to detach and keep______
INFORMATION for APPLICANTS
- If your application is accepted, your name and address, as provided above, must be recorded in a register of members and be made available to other members, upon request, under section 27 of the Associations Incorporation Act.
- You can contact the Association at……
- You can access or correct personal information (your name and address) by contacting the Association as indicated above.
- For full details on the application process please visit the WA Dingo Association Incorporated website at
Compliance with Code of Ethics:
Each member, upon signing an application for membership or renewal ofmembership of the WA Dingo Association Incorporated, and being duly elected togeneral membership, shall, in addition to agreeing to be bound by the Constitution, Rules and Bylaws of the WA Dingo Association Incorporated, be also bound by theAssociation’s Code of Ethics relating to responsible dingo ownership, including thekeeping, welfare, breeding and disposing of dingoes by members to the effect of theterms and conditions set out under the code of ethics.
CODE OF ETHICS
In consideration of the WA Dingo Association Incorporatedelecting me to its general
membership and approval of that renewal from time to time, I pledge to the WA Dingo Association Incorporated that –
1. I shall ensure that at all times dingoes kept under my control are properly housed, fed,
watered, exercised and receive proper veterinary attention, if and when required.
2. I shall provide an escape proof enclosure of a minimum of 30 sq. metres for two
dingoes and an additional 20 sq. metres for each additional dingo.
3. I shall not allow dingoes under my care to roam at large and when away from home
ensure they are kept fully leashed, or under effective control, at all times.
4. I shall breed only for the ongoing conservation purposes of the dingo species, and not
for the pet market or any other commercial purpose
5. No female kept by me shall be permitted to mate before its second year.
6. I shall not permit the mating of pure dingoes owned by me to any domestic dog
7. I shall not breed unless I am reasonably certain of placing all pups in responsible
homes.
8. I shall not transfer or dispose of any dingo pup under the age of five weeks
9. I shall ensure that all persons acquiring dingoes from me clearly understand their
responsibility for the care and welfare of the animal, and that they have the time and
facilities (i.e. adequate escape proof enclosures, sufficient room and proper shelter) to
meet their obligations.
10. I shall provide persons acquiring a dingo from me with written details of all dietary and
vaccination and worming requirements and information on the specialized care required
for dingoes.
11. I shall not sell any dingo to commercial dog wholesalers or directly or indirectly allow a
dingo to be given as a prize or donation in any kind of contest.
Signature …………………………………… Date ………………………..
Name ……………………………………………………………………………
Witness ………………………………………….
Name:.………………………………………………………………………………………………………
(Insert APPLICANT’S name)
Address:……………………………………………………………………………………….
………………………………………………………………………………………………….
………………………………………………………………………………………………….
(insert APPLICANT’S residential or postal address -required under section 27 of the Associations Incorporation Act (1987))
Phone Number:………………………………………Mobile Number:……………………………………..
Email Address:…………………………………………………………………………………………………
Dingo Name(if you have one):…………………………………………………Date of Birth or Age:…………….
Sex:Male/FemaleMicro chipped:Yes/ No Microchip Number (if Known):……………………
apply to become an Associate member of the above Association.
I have included my annual Associate Membership fee of $20.00 Cheque or money order (Refunded if application is unsuccessful)made payable to: WA Dingo Association Incorporatedor proof of electronic payment (subject to verification)
I understand that my Associate Membership is not automatic and is subject to the condition of nomination by one Full member and seconded by another Full member.
By signing this application I fully understand that being an Associate member does not entitle me to all rights or privileges conveyed by the Above Associations Constitutions or Rules. I understand that I have no rights of suffrage nor rights to attend general or special meetings of the Association unless invited by a current Full Member, and that if invited are there solely as a guest and observer and have no rights to enter into the discussions of that meeting of the Association unless your opinion is sought or invited by other members.I am permitted as an Associate member to attend Annual General Meetings.
Signature:…………………………………………………………………..Date:…………………………………………………
PLEASE PRINT A COPY & FORWARD TO:
Postal address:Banking Details for Direct Transfer.
WA Dingo Association Incorporated Acc Name =WA DINGO ASSOCIATION INCORPORATED
C/O 171 High Road, Willetton. WA. 6155. BSB Number = 036-080
Acc Number = 37-5738
PLEASE NOTE:MEMBERSHIP RENEWAL FEE - DUE 1ST JULY EACH YEAR
As an Associate Member you are entitled to receive amended minutes of the meetings of the Association where details privy to only Full Members has been removed. You will receive regular news letters and updates regarding the WA Dingo Association Incorporated. You will be invited to attend functions, events and outing to assist in the development and growth of the Association and promotion of its cause. You may also be invited to general meetings by full members and in the future may be invited to become a Full Member. An Associate member is entitled to attend the Association’s Annual General meeting and as such will be notified of the time and location of said event.
Office use only:
PROPOSED:SECONDED:
Name:…………………………………………Name:……………………………………………….
Signature:……………………………………Signature:…………………………………………
Date:…………………………………………… Date:…………………………………………………