application for registered stud prefix

AUSTRALIAN DORPER AND WHITE DORPER ASSOCIATION INC
PO Box 108, Goodwood SA 5034
Phone: 08 8210 5229
Fax: 08 8231 4173
Email: [email protected]
Website: www.australiandorper.com.au
ABN: 74 202 628 380
Welcome to the Australian Dorper and White Dorper Association Inc
Dear prospective member,
On behalf of the inaugural board of the Australian Dorper and White Dorper Association (ADWDA), I
welcome you to join our organization and encourage you to participate in the Australian sheep industry
through this Association to enhance your success and profitability with your sheep breeding program.
This Association will represent all facets of the sheep industry from producer through to processor,
marketer, retailer and consumer, thus benefiting all those involved with the Dorper and White Dorper
industry.
Any Dorper and White Dorper breeder who is currently a member of any other organization and decides to
become a member of the ADWDA will be permitted to retain their existing Prefix and Flock Number if they
choose to do so. Please refer to Form 2 of the application form.
A member can only register one Stud, you will be allocated one Prefix and Flock Number that
encompasses either Dorper or White Dorper or both.
If you decide to become members of the ADWDA and have not previously been members of any other
organization you will be allocated the Prefix of your choice (provided it has not been allocated to another
Stud) and a Flock Number commenced at 6000 plus (eg 6001, 6002 etc.). This action is necessary to avoid
any clash of Flock Numbers with members of the DSSA as Sheep Genetics (Lambplan) cannot facilitate
studs with the same Flock Number (each animal recorded in the Lambplan system must have its own
unique identifier).
Commercial members do not require a Prefix and a Flock Number.
Membership of Lambplan is optional; however flock numbers must be allocated correctly from the
beginning to accommodate any breeder who decides to become involved with Sheep Genetics.
Please take the opportunity to access our website links (www.australiandorper.com) to find out more about
the Dorper/White Dorper breeds and the Australian Dorper and White Dorper Association.
Further information can be obtained from the ADWDA Secretary, Daryl Schaefer, Royal Agricultural &
Horticultural Society of SA Inc on (08) 8210 5229 or email [email protected]
Brendon Duncan
President
Page 1 of 4
AUSTRALIAN DORPER AND WHITE DORPER ASSOCIATION INC
PO Box 108, Goodwood SA 5034
Phone: 08 8210 5229
Fax: 08 8231 4173
Email: [email protected]
Website: www.australiandorper.com.au
ABN: 74 202 628 380
2016 MEMBERSHIP APPLICATION
For GST purposes this is your TAXATION INVOICE from ROYAL AGRICULTURAL & HORTICULTURAL SOCIETY OF SOUTH
AUSTRALIA INC l ABN: 68 531 710 498 on behalf of the Australian Dorper and White Dorper Association Inc
Form 1 - Retain
Name:
Trading Name:
Address:
Date of Issue:
Date Paid:
Amount Paid:



Please retain Form 1 as your GST Tax Invoice
Return Form 2 with your membership payment for the year from 1 January 2016 to 31 December 2016
Email address must be supplied for discounted rate to apply
TYPE OF MEMBERSHIP
STUD MEMBERSHIP FEE
Breeder of registered sheep & able to register and
transfer stud stock, access to registrations data base,
receives all Association publications & correspondence,
one full voting right per membership (includes stud
membership application fee of $55)
COMMERCIAL MEMBERSHIP FEE
Owner of a commercial flock. Receives one full voting
right per membership and all Association publications
& correspondence
ASSOCIATE MEMBERSHIP FEE
Breeder of unregistered, commercial sheep, receives
Association publications, no voting rights
JUNIOR MEMBERSHIP FEE
Breeder of registered sheep. 18 years of age and
under, maximum of 20 registered sheep, able to
register and transfer stud stock, no voting rights
IF EMAIL ADDRESS
SUPPLIED
IF NO EMAIL
ADDRESS SUPPLIED
$208.00 (GST incl)
$233.00 (GST incl)
$208.00 (GST incl)
$233.00 (GST incl)
$66.00 (GST incl)
$91.00 (GST incl)
$66.00 (GST incl)
$91.00 (GST incl)
TOTAL OF PAYMENT:
FEE PAID
$
Page 2 of 4
AUSTRALIAN DORPER AND WHITE DORPER ASSOCIATION INC
PO Box 108, Goodwood SA 5034
Phone: 08 8210 5229
Fax: 08 8231 4173
Email: [email protected]
Website: www.australiandorper.com.au
ABN: 74 202 628 380
Form 2 – Return
MEMBERSHIP APPLICATION REMITTANCE ADVICE
Return Form 2 with your membership payment for the year from 1 January 2016 to 31 December 2016
TYPE OF MEMBERSHIP
IF EMAIL ADDRESS
SUPPLIED
STUD MEMBERSHIP FEE
Breeder of registered sheep & able to register and
transfer stud stock, access to registrations data base,
receives all Association publications & correspondence,
one full voting right per membership (includes stud
membership application fee of $55)
COMMERCIAL MEMBERSHIP FEE
Owner of a commercial flock. Receives one full voting
right per membership and all Association publications
& correspondence
ASSOCIATE MEMBERSHIP FEE
Breeder of unregistered, commercial sheep, receives
Association publications, no voting rights
JUNIOR MEMBERSHIP FEE
Breeder of registered sheep. 18 years of age and
under, maximum of 20 registered sheep, able to
register and transfer stud stock, no voting rights
IF NO EMAIL
ADDRESS SUPPLIED
$208.00 (GST incl)
$233.00 (GST incl)
$208.00 (GST incl)
$233.00 (GST incl)
$66.00 (GST incl)
$91.00 (GST incl)
$66.00 (GST incl)
$91.00 (GST incl)
TOTAL OF PAYMENT:
FEE PAID
$
MEMBERSHIP DETAILS:
Email for Correspondence:
(must be completed for discounted rate to apply)
Breed Type (please tick your breed type/s)
DORPER
WHITE DORPER
Name for Membership:
Contact Person:
Address:
Phone:
Fax:
Mobile:
APPLICATION FOR REGISTERED STUD PREFIX:
OPTION 1 – Use an existing prefix and flock number
OPTION 2 – Apply for a new prefix and flock number
If you already have a prefix and flock number allocated by a
breed organisation and wish to retain it, please list the details below:
If you wish to apply for a brand new prefix, and be allocated a new flock
number for ADWDA, please list your two preferences below.
Flock Number:
Preference 1:
Stud Name / Prefix:
Preference 2:
For the Australian Dorper and White Dorper Association Inc to accept my membership I agree to comply with the rules, regulations as set
by the Constitution of the Association.
Signed:
Date:
Page 3 of 4
AUSTRALIAN DORPER AND WHITE DORPER ASSOCIATION INC
PO Box 108, Goodwood SA 5034
Phone: 08 8210 5229
Fax: 08 8231 4173
Email: [email protected]
Website: www.australiandorper.com.au
ABN: 74 202 628 380
PAYMENT METHOD:
Card Number:
EFT TRANSFER
BSB: 085-005 Account No: 24406 9653 Account Name: Australian Rural Connect
Please email remittance to [email protected]
CHEQUE
To be made payable to Australian Rural Connect
CREDIT CARD
Please completed the credit card information below
-
-
-
CVV:........................
Expiry: ………./…..…. Card Holder Name: ................................................................... Signature: ..........................................................
Please return with payment to Australian Rural Connect, PO Box 108, Goodwood, SA 5034
OFFICE USE ONLY
Prefix: ........................................................................................ Flock No: ............................................................................................
Page 4 of 4