Please specify which specific species or breed your organisation or club represents :

Dogs

Cats

Birds

Horses

Fish

Reptiles

Wild

Other

If Other - please specify:

Province:

City / Town Name:

Suburb:

Club, Organisation or Association Name:

Breed:

Date Established:

Operating (nationally or provincially):

Affiliate organisation:

Membership requirements:

Meetings:

contact person Contact Person:

telephone Telephone Number:

mobile cellphone Mobile Cellphone Number:

fax Fax Number:

street address Street Address:

postal address Postal Address:

website url Website Address:

email address Email Address:

skype Skype:

messenger address Messenger:

Mission, Aims and goals (maximum 100 words):

Upcoming Events:

The following information will not appear on any of our websites and is for our ADMIN ONLY:
Name of person submitting the above information:


Email address of person submitting the above information:

PLEASE NOTE THAT THIS IS COMPULSORY FOR YOUR DETAILS TO BE LISTED.

Read everything again to ensure there are no spelling mistakes.

I confirm that I have read, understood and accepted the
Terms and Conditions:

Your information will under no circumstances be sold to or shared with third parties.

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