| Date Application Received |
_________________________ |
| Code of Ethics Signed |
_________________________ |
| Amount of Check Received |
_________________________ |
| Sponsor Letters Received |
_________________________ |
| _________________________ |
|
| First Reading |
_________________________ |
| Approval |
_________________________ |
| Acknowledgment Sent |
_________________________ |
*************************************************************** (Do Not Write Above This Line) GREATER DALLAS SCOTTISH TERRIER CLUB APPLICATION FOR MEMBERSHIP |
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I (we) _______________________________________________________________
(Please print your name and kennel
prefix as you wish it to appear in the club roster)
hereby make application to become a members(s) in The Greater Dallas Scottish Terrier Club (GDSTC). If elected to membership, I (we) agree to abide by the Constitution and By-Laws of the GDSTC and the rules of the American Kennel Club (AKC). I (we) certify that I (we) am (are) in good standing with the American Kennel Club and that my (our) privileges are not now nor have ever been suspended or revoked. ADDRESS:_____________________________________________________________ (Street, City, State, Zip)
TELEPHONE:
OCCUPATION: _______________________________________________________ DO YOU OWN OR CO-OWN A SCOTTISH TERRIER: Yes
____ No ____
IF YES, HOW MANY? __________ LENGTH OF TIME INVOLVED WITH SCOTTISH TERRIERS: __________ IS YOUR INTEREST IN JOINING THE GDSTC PRIMARILY AS A PET OWNER? Yes ____ No ____ ARE YOU INTERESTED IN SHOWING IN CONFIRMATION? Yes ____ No ____ IN OBEDIENCE? Yes ____ No ____ IN AGILITY? Yes ____ No ____ IN EARTHDOG? Yes ____ No ____ DO YOU OWN OR HAVE YOU OWNED OTHER PUREBRED DOGS? Yes ____ No ____ IF YES, WHICH BREEDS, CURRENT? ______________________________________________________________________ ______________________________________________________________________ IN THE PAST? ______________________________________________________________________ SPECIFIC ACTIVITIES AND DATES INVOLVED IN PURE BRED DOGS (INCLUDING SCOTTIES): ______________________________________________________________________ ______________________________________________________________________ HAVE YOU BRED SCOTTISH TERRIERS? Yes ____ No ____ IF YES, HOW MANY LITTERS? __________ DO YOU HAVE AN INTEREST IN BREEDING? Yes ____ No ____ HAVE YOU EVER BOUGHT/SOLD DOGS FOR RESALE? Yes ____ No ____ MEMBERSHIP IN CANINE RELATED ORGANIZATIONS: ______________________________________________________________________ ______________________________________________________________________ Please include a narrative description of your activities in pure-bred dogs to be attached to this application form. Please state reasons for interest in membership in the Greater Dallas Scottish Terrier Club. In which areas of the club's activities have you special interest, abilities, and/or desires to contribute. (Example: organization, fund raising, artistic abilities, computer science, etc.) APPLICANT(S) SIGNATURE ______________________________
DATE _______________________
Please submit Membership Application with signed Code of Ethics to the Corresponding
Secretary with check for membership dues with initiation fee. Active
membership is $15.00 plus $5.00 initiation fee for a total of $20.00 due
per applicant with this application. Money refunded if application not
accepted.APPLICANT(S) SIGNATURE ______________________________ DATE _______________________ MEMBER SPONSOR ______________________________ DATE _______________________ MEMBER SPONSOR ______________________________ DATE _______________________ |
Last Update: 5/30/08