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Date: ________________
Name(s) ______________________________________________________________
Address ______________________________________________________________
City, State Zip _________________________________________________________
Telephone ___________________ Email ____________________________________
Breed(s) Owned: _______________________________________________________
If you are/have been a member of other canine clubs, list their names.
_____________________________________________________________________
Interests? Obedience __ Show Handling __ Agility __ Rally ___
Other ________________________________________________________________
Would you be willing to help with any of the following:
Shows/Matches __ Publicity __ Wherever Needed __
To be considered for membership, I (we) understand that I (we) will have to meet a three-event criteria (attendance at general meetings and/or assistance with designated events) within the next six months.
_____________________________________________________________________
Signature(s) of Applicant(s)
Send this completed application and $5 Membership Fee to:
Betty McAdams
867 Old Falmouth Road
Marstons Mills, MA 02648
(Make checks payable to Cape Cod Kennel Club, Inc.)
For Cape Cod Kennel Club Use Only
Date Received ____________________
Criteria Met: _________________________________________
1 ____________________ 2 _____________________ 3 ______________________