St Bernard Club of Puget Sound

 

    APPLICATION FOR MEMBERSHIP

  Applicants Name:  ___________________________________________________

  Address: ___________________________________________________________

  City, State, Zip ______________________________________________________

  Home Phone: _________________ Email: ________________________________

   Occupation: ________________________________________________________

  Do You Own A St Bernard?  (__) Yes   (__)  No    How Many? __________

If You Belong To Other Dog Clubs (Specialty, All-Breed, Obedience) Please List _________________

 _________________________________________________________________________

I/We Hereby Apply For (___ ) Single, (___ ) Dual Membership In The St Bernard Club Of Puget Sound And Agree To Abide By Its Constitution And By-Laws And By The Rules Of The American Kennel Club

___________________________________             _____________________________________

Signature Of Applicant                       Date                 Signature Of Applicant                            Date
 

We, Being Members In Good Standing In The SBCPS, Do Recommend The Above For Membership   

                                                                           
_______________________________                    _______________________________________

Proposed By                                     Date                 Seconded By                                                Date    


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NOTE:  Any Applicant For Membership Must Attend A Minimum Of One Club Event Prior To Acceptance Of An Application For Membership.

Schedule Of Fees To Be Submitted With Application Membership Category

Dues And Initiation Fee

Single
$20.00 Dues Plus $5.00 Initiation Fee

Dual
$30.00 Dues Plus $5.00 Initiation Fee

I/We Have Enclosed $_______ For Dues And Initiation Fee

Sent Application And Fee To:  SBCPS, P O Box 88183, Tukwila Station, Seattle, WA  98138-2183

(Do Not Write In This Section)

Date Application Filed: _______________      Received By: ______________________

Date Of First Reading:   ________________   Date Of Second Reading: _____________

Accepted: ___________