Membership Checkout A Payment Gateway must be set up before any payments will be processed. Membership Information You have selected the Breeder Membership membership level. Recognised Breeder status is only valid if the Breeder has a current Single or Family Membership. The price for membership is $25.00 now. Account Information Username Password Show Password Confirm Password First Name Last Name Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here General Membership Signup Information Description to go here for General membership Signup Information Facebook Name Type your facebook username here Occupation Please list your Occupation Other skills you are willing to offer the Association Who introduced you to the Murray River Retriever Assocation? Number of Murray River Retrievers in your household My dog(s) are For Hunting Pet(s) An Assistance Dog Do you want access to the Member Only Hunting sections of the Website? Yes No Breeder Registration Details Prefixes are governed in the Association Rules under Appendix 4 (2). If no prefix is selected then your registered Surname will be shown as your prefix. If there are duplicate surnames then your first initial will be appended to your Surname Prefixes are subject to approval under Appendix 4 (2)(v) Prefix / Kennel name (subject to approval) Other MRRA Members to be Associated with this Breeder Prefix Name of Dam Dam Date of Birth MRRA Register # (if registered) MRR/ / Additional Breeding bitches (Include: Name, Date of Birth, MRR Register #) Sire Name Sire Date of Birth Sire MRRA Register #(if registered) MRRA/_ _ _ /_ _ _ Additional Sires (Include: Name, Date of birth, MRR Registration #) The following is true of my dogS All dogs have been previously registered with the MRRA I need to register dogs with the MRRA Number of Dogs I need to Register Important — The MRRA currently includes the registration of up to 2 dogs or bitches being used to breed with as a benefit of application for breeder membership. For each dog or bitch that needs to be registered, a Dog registration form will need to be completed for each one. Once you complete and submit this form you will be taken to a cart, please add the number of additional dog registrations (over and above the 2 free registrations) that you require into your cart at a price of $10 per dog and you will be forwarded the forms for completion once your Breeder membership is approved. Acknowledgments I understand that my Breeder Membership application must be approved by the MRRA Committee I understand that membership is annual and the membership year runs from 1 July to 30 June I acknowledge the MRR Associaton Rules and Regulations and will abide by them I acknowledge the MRR Association Rules Appendix 4 Breeding and will breed responsibly I will conduct myself and Kennels in a manner to not bring disrepute the the Association I will notify each of my litters and pay the appropriate fee in accordance with Appendix 4 (22) All Members and registered breeders must abide by the Club Rules and Regulations. Access to member only hunting sections of the website Yes No Hunting Section Access The MRRA website contains additional information for members only, which you will receive access to once your membership is approved. As the Murray River Retriever is a hunting breed, one of the members sections available is for members requiring information and sharing information related to their hunting. The Hunting area of the website will contain images of the harvesting of game that some people may find disturbing. In the interests of not offending members, please make the appropriate selection below. Select Yes if you would like to have access to these areas and you will manually be given access once your membership is approved. If you select No, you will have access to all other member areas of the website. Group Account Information This purchase includes 0 additional seats. Group members will be able to claim the following membership levels: Single Membership, Family Membership. Member Details (Family Extras) Member Type Human Dog Name (single field) Enter full name. We will split into First/Last internally. Membership Number Dog Breed Reg. 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