CWCCSC
Membership Application
| Full Membership | |
| ___Family | $20 |
| ___Regular | $15 |
| ___Junior | $12 |
| Associate Membership | |
| ___18 yrs or older, living outside greater Los Angeles area |
$12 (per person) |
| Name(s)___________________________________ __________________________________________ __________________________________________ |
Date__________________ | |
| Phone#___________________________________ | ||
| E-Mail____________________________________ | ||
| Address___________________________________ __________________________________________ |
City___________________ | State______________ |
| Zip________________ | ||
| Occupation(s)_______________________________ __________________________________________ |
Kennel Name______________________________ | |
| The undersigned applicant(s) agree to
abide by the constitution and by-laws of the CWCCSC and the rules and regulations of the American Kennel Club. |
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| Applicant(s)________________________________ | Sponsor 1:_________________________________ | |
| Applicant(s)________________________________ | Sponsor 2:_________________________________ | |
| Please list the following information about all Cardigan Welsh Corgis you own or co-own. If dog is living with another person, please indicate with an "X" | ||
| Registered Number | Registered Name | Call Name |
| ________________ | _______________________________ | __________________________Sex__ |
| ________________ | _______________________________ | __________________________Sex__ |
| ________________ | _______________________________ | __________________________Sex__ |
| ________________ | _______________________________ | __________________________Sex__ |
Note: Dues for the current year must accompany this application. Thereafter they will be due on or before the first day of July each year (see sections 2 & 3 of the CWCCSC by-laws. Dues include surcharge for Cardi Tales. Instructions for this form. Print this page, fill out and mail with check (payable to CWCCSC)to: Sherilyn Curti
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