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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
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


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Ferret Society of Canberra
 www.ferretclub.org.au

 For more information or to make comments please email mail@ferretclub.org.au