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Membership Form
Name: (first) (last)
Name: (first) (last)
Name: (first) (last)
Name: (first) (last)
Name: (first) (last)
Address
Suburb
State
Postcode
Email
Phone home
Phone work
Mobile
Fax
Your ferrets: (names + details if you would like)
I am interested in adopting a ferret(s) - please contact me to discuss:
yes
no
ACT Ferret Licence:
more information
Yes I have one
I will be applying for one
I live outside the ACT so dont need one
Licence number (if applicable):
I may be able to help with transporting rescue ferrets in my area:
yes
no
I may be able to help with temporarily caring for rescue ferrets in my area:
yes
no
Membership Fee ($20):
more information
I have made a deposit into the FSOC bank account (or will shortly)
I have sent a cheque or money order to the FSOC post box (or will shortly)
I will pay cash to the member who visits my home
By submitting this form you are agreeing to the
FSOC Disclaimer
Ferret Society of Canberra
www.ferretclub.org.au
For more information or to make comments please email
mail@ferretclub.org.au