I/We am/are interested in becoming a member of Samantha's Collie Club I understand that to become a member I/we must attend three (3) meetings, be considered by the membership committee, and be approved by the Board of Directors. The following information is provided to you for the purposes of considering my/our application as a member of the Memphis Kennel Club:
First Name Last Name Middle Initial Title Organization Street Address Address (cont.) City State/Province Zip/Postal Code Work Phone Home Phone FAX E-mail URL
Is this a new member application or a renewal application
Enter today's date: (mm/dd/yy)
Level of membership preferred: Single ($10) Double/Family ($15) Junior ($1)
If you chose the "double" membership option above, please provide your spouse and/or other family members names and relationship to you below:
Tell us about your dog(s):
If accepted as a member, I/we plan to participate in one or more of the following activities:
Advertising (securing ads for our show catalogs) Education (helping with educational activities) Decoration (assisting with decorating for events and shows) Hospitality (at meetings and/or events) Publicity (for our shows) Ring Stewarding (at shows) Training classes (either as a trainer or participant) Trophies (assisting our trophy chair prior to and at shows) Interested in a leadership role (on a committee, the Board, as Show or Trophy Chair) Only interested in becoming a member for now, ask me again sometime.
I/we acknowledge that I/we have read, understood and agree with the Club'sPosition Statements as a member club of the American Kennel Club:
YES NO
Samantha's Collie Club does not discriminate on the basis of age, color, sex, race, religion or sexual orientation.
