LENAPE BULLDOG CLUB OF
MEMBERSHIP
APPLICATION
NAME:___________________________________________________
ADDRESS:________________________________________________
___________________________________________________County__________________
TELEPHONE:( )_____________________________ Email :_____________________________
PLEASE CIRCLE ALL THAT APPLY BELOW:
B- registered a litter with the AKC in the past three years
DO- interested dog owner. Have one or more registered AKC dogs but not active in the sport
V- licensed Veterinary
J- an AKC licensed judge
E- exhibitor- one who has entered an AKC licensed event in the past two years
PLEASE ANSWER THE BELOW QUESTIONS:
Have you placed an AKC Title on your dog(s) ? YES NO If “Yes” please list the title and date:
SIGNATURE:___________________________________ DATE:____________________
PROPOSED BY: __________________________________________
____________________________________________
TYPE OF MEMBERSHIP(CHECK ONE)
( ) FULL VOTING $10.00/YEAR (must attend 2 meetings before being voted on)
( ) ASSOCIATE MEMBER- NON-VOTING $10.00/YEAR
MAIL COMPLETED APPLICATION TO:
Lisa Treffinger
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DO NOT WRITE BELOW THE LINE
FOR CLUB USE ONLY
DATE SUBMITTED: ______________________ (1ST
DATE OF TWO ATTENDED MEETINGS(full membership):_____________ &__________________
APPROVED BY MEMBERSHIP:_________________________