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Northeast Florida Toy Dog Club Application
Print and bring to a general membership meeting.
Please note: Club dues are $15.00 per
person or$25.00 per family household per year and must accompany this
application. All applicants for
membership must attend at least one general meeting of the Club as a visitor
prior to the submission of an application for the first reading. A vote by the
membership will be taken following the second reading of the application at
which time applicant may not be present.
Date: _________________
I hereby apply for membership to the
Northeast Florida Toy Dog Club, under the laws of the State of Florida, and
agree to abide by its Charter, By-laws and the rules of the American Kennel
Club, and to participate in the activities of the Club insofar as I am able.
Signature
NAME
IN FULL (Please Print):
OCCUPATION:
____________________________BIRTH DATE (Month & Day Only)
ADDITIONAL
FAMILY/HOUSEHOLD MEMBER NAME(S):
OCCUPATION:
____________________________BIRTH DATE(S) (Month & Day Only)
MAILING ADDRESS:
CITY:
__________________________ STATE: _______________ ZIP CODE:
HOME PHONE:
_______________________ WORK PHONE:
EMAIL ADDRESS:
BREED(S):
PRIMARY
INTEREST: (please check all that apply:
CONFIRMATION ( ) OBEDIENCE
( )
AGILITY ( )
OTHER
CLUBS YOU ARE ACTIVE IN:
WOULD
LIKE TO VOLUNTEER FOR FOLLOWING:
_______ Officer
_______ Board of Directors
_______
Match/Show Chairman
______ Match/Show Committee
______ Judge(s)
______ Trophies
______ Entries
______ Publicity (flyers, etc.)
______ Hospitality
______
Other: tell us what you like to do
Suggestions:
Sponsors:
__________________________________________
Date of First Reading:
_____________
Date of Second Reading:
___________
Approved:
Yes: _______ No: _______
Member: American Kennel Club