Hungarian Vizsla Club of NSW Payments

Payments:

The Hungarian Vizsla Club of NSW Inc. offers you the facility to make payments directly into the Club's bank account.

Should you wish to use this facility, you will be required to submit the following form to enable correct and efficient tracking of your payment/s.

If you experience any difficulties whatsoever, please contact our Secretary, Ruth Brooks.

BANK ACCOUNT DETAILS:
Greater Building Society,
103 Tudor Street,
Hamilton, NSW, 2303
AUSTRALIA

BSB: 637 000
ACCOUNT NO: 163552359

Name:
Address1:
Address2:
Suburb/Town:
State:
Country:
Postcode:

Phone No:
Email Address:

Date of Payment:
Payment Amount:
Type of Payment:
Comments:

	I wish to become a member of The Hungarian Vizsla Club of NSW Inc. and agree to be bound by its rules.

NOTE:	If your payment is a membership renewal you must select "yes" in the above box.