Membership Applicatian

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Application for Membership/Donator

Name and Surname *

Date of birth

Postal Adress *

Zip Code and City *

Phone

Mobilephone *

Country *

E-Mail *

Type of Membership / fees

HKPDP-D Donator - 30,00 € HKPDP-D-S Student/Pensioner - 15,00 € HKPDP-D-F Family member - 10,00 €

Membership in other clubs

Number of your Dalmatian dogs

Name of your kennel

OIB (only for croatian citizens)

* I will abide by the Statute HKPDP

* I apply that my dates like name, surname, date of birth aso are used inside the HKPDP

* I confirm that my filled informatian are true

payment-confirmation *

By sending the membership application, you commit to a one-year membership as a donor to the Dalmatian Club Of Croata "Dalmatinac" and to the payment of the membership fee. Membership will automatically renew unless you cancel one month before the end of the year. The membership fee / donation for the following years is due in January.