River King
Newfoundland Club |
Membership
Application |
| Name(s): | ||
| Address: | ||
City: State: Zip: |
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| Phone: | ||
| Fax Number: | ||
| Email: | ||
| Membership Type: | ||
| ( ) Individual / Associate $15.00 ( ) Family $25.00 | ||
| Special Interests: | ||
| ( ) Conformation ( ) Obedience ( ) Water Work ( ) Draft ( ) Other | ||
| Please describe any special interests: | ||
| Dogs owned and callnames: | ||
| . | ||
| Have you ever been expelled or suffered action by an animal organization? ( ) Yes ( ) No | ||
| If yes, please name club: | ||
* Please explain fully on a separate page. |
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Why are you interested in joining River King Newfoundland Club? |
||
| . | ||
| Are you currently affiliated with any other Newfy or all-breed clubs, including NCA? ( ) Yes ( ) No | ||
| If yes, please name club: | ||
| RKNC Sponsor Signatures:X________________________________________________________________ | ||
| X________________________________________________________________ | ||
If accepted for membership, I / We agree to abide
by the By-Laws and Code of Ethics of River King Newfoundland Club. I
/ We also understand that RKNC membership fees include the fiscal year
in which they are paid (October 1 through September 30) and will be due
and payable each October 1 to remain in good standing with RKNC. |
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| Signed: | ||
Date: |
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Please return completed form with
check included for the appropriate amount payable to |
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RKNC
|
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c/o Jane Delaney |
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114 Port Bagnell |
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Eldon, MO 65026 |
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573-365-1491 |
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