8/110 /2019

Annual Non-Member Showing ID Card/Levy

Non-members of Dilutes Australia Ltd who assist members with showing (strappers, handlers,

riders etc) at Dilutes Australia Ltd Branch run shows or events, must sign an insurance waiver

and pay a levy at each show or event attended.

To assist those members who attend multiple shows during a membership period, and regularly have the

assistance of non-members, Dilutes Australia offers the opportunity to pay an annual non-member showing

levy to reduce costs. If you choose to take advantage of this offer, each applicant will be issued with an

identity card, valid for the year, but will still need to complete and sign a waiver at each show attended. This

card is for showing purposes only and will reference the membership ID the holder is associated with.

To apply for the Dilutes Australia Annual Non-Member Showing ID Card please complete the details below,

sign, and submit the form with payment. Payment and address details below. Please use a separate form for

each application. This form can be photocopied.

APPLICATION FOR ANNUAL NON-MEMBER SHOWING ID CARD

DA Ltd Member ID: Membership Name:

Non-Member Applicant Details

Full Name:

Address:

Suburb: State: Postcode:

Signature:

Guardian Signature (For youths 17 years & under):

Submit this form and payment of $20 to:

By Mail: Dilutes Treasurer

57 Road Toowoomba Old NEO 4305 QLD MILE

Or y b Email:

Cheques/money orders to be made payable to Dilutes Australia Ltd.

EFT Payments (preferred) Bank Details: BSB: 633 000

Account No: 123 341 414

Account Name: Dilutes Australia Ltd

Reference: Your Name

*Completed forms must be submitted and payment received before applications will be processed.

One form per person.

ABN: 17 081 316 994

(preferred)