Date Application Received
_________________________
Code of Ethics Signed
_________________________
Amount of Check Received
_________________________
Sponsor Letters Received
_________________________

_________________________
First Reading
_________________________
Approval
_________________________
Acknowledgment Sent
_________________________


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(Do Not Write Above This Line)

GREATER DALLAS SCOTTISH TERRIER CLUB
APPLICATION FOR MEMBERSHIP
 



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:
Home
( ______ ) _________ - ___________
Work
( ______ ) _________ - ___________

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 _______________________


APPLICANT(S) SIGNATURE ______________________________  DATE _______________________


MEMBER SPONSOR ______________________________  DATE _______________________


MEMBER SPONSOR ______________________________  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.

CLICK HERE TO PRINT THE GDSTC CODE OF ETHICS


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Last Update: 5/30/08