|
MEMBERSHIP APPLICATION
Name:___________________________________
Spouse's Name:_________________________
Address:_______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Telephone:- Home
(_____)____________________ Work (_____)_________________________
FAX:___________________________
E-Mail:_________________________________________
Occupation(s):__________________________________________________________________
Please answer the following
questions:
How many Shih Tzu do you own?__________ Age (or range)_______________
Do you breed?______________
Do you exhibit? _____ Conformation? _____ Obedience? ______
Agility? _______Other?
Do you buy dogs and/or puppies for resale?____________
Do you own other purebreds? ________ If yes, please list breed(s) and
number:
Do you hold membership in any other dog clubs? ______ If yes, please
list Club name(s), any office held,
and any committee(s) on
which you serve(d):
Are there any special functions or activities you would like the Club to
undertake which
you feel would
benefit you or our breed? If yes, please list:
Are there any special skills you possess which would benefit this Club?
Please specify
Have you ever been suspended by The American Kennel Club or by the
American Shih Tzu Club?
If yes,
please attach a letter of explanation. Have you been reinstated?
I /We the undersigned, do hereby
agree to abide by the Constitution, By Laws, and Code of Ethics
of the Shih Tzu Fanciers of Greater Baltimore, and by the rules of The
American Kennel Club.
____________________________
_________________________
Signature and Date
Signature and Date
Sponsors:___________________________
_______________________________ |
