|
Classic Toy Dog Club
of Western Massachusetts, Inc.
Cheryl L. Barnes, Secretary
417 Woodland Street
Windsor Locks, CT 06096
APPLICATION FOR MEMBERSHIP
All applications must be made to the
Secretary of the Classic Toy Dog Club of
Western Massachusetts, Inc. accompanied by the
appropriate annual dues.
(Regular - $10.00,
Junior - $5.00). Regular membership is open
to all persons
18 years of age or older. Junior
membership is open to all persons under
18 years of age.
Junior membership carries all privileges of regular membership
except voting
rights. All applicants must be sponsored by a
member in
good standing.
All signatures must
be in writing. Individuals must attend one
meeting before applying for membership. Annual dues shall become due
and payable on
the first day of January. If a
prospective member is accepted within 2 months prior to January 1st, the dues
accompanying the application shall be considered as paying the dues for the
following year.
I do hereby make application for
membership in the above organization and, if accepted as a member, do hereby agree to
abide by all the rules, regulations
and by-laws of the club.
(Mr.) (Mrs.) (Miss) (Ms.) (Dr.)
Name________________________________________________________
Please Print
Street________________________City_____________________State______Zip______
Telephone
No.(_____)______________ E-mail Address
__________________
If I provide an e-mail address I agree that meeting notices &
other club correspondence may be sent via e-mail.
Breed(s)__________________________Occupation___________________
Are you
interested in ( ) Breed ( ) Obedience (
) Rally ( )
Agility ( )
Other ______
Signature_________________________________________________
Date________________
Sponsor's
Signature_____________________________
DO
NOT WRITE BELOW THIS LINE
___________________________________________________________________________
All applications for membership must be filed by the
Secretary and each application is to be read at the first meeting of the Club following
its receipt.
Date application was read
_________________
Date of
Action _________________
Action
of membership ( ) Accepted
( )
Declined
President's
Signature_________________________________________________
Secretary's Signature_________________________________________________
|