APPLICATION FOR MEMBERSHIP
WASHINGTON
POODLE CLUB
To The Board of Governors                                                            Date:__________________

Applicant Name:____________________________________________________________

Address___________________________________________________________________
Phone:____________________________________________________________________

1. Variety of Poodle:  Toy ( ) Miniature ( ) Standard ( )

2. A.K.C. Registered?    Yes( )  No ( )   If foreign registered, please explain.
3.Sex:  Male ( )  Female ( )
4 Color:  __________________________________________________________________
5. Breeder?  Yes ( )  No ( )  Kennel name__________________________________________
6. Exhibitor?  Breed ( )  Obedience ( ) Agility ( ) Other ( )
7. Pet Owner ( )
8. Are you willing to serve on committees?  Yes ( )   No ( )
(Use reverse side of form for explanation, if any.)

AGREEMENTI hereby apply for membership and agree to abide by the Constitution and By Laws and all Rules and Regulations of the Club if accepted for membership.  Membership fee enclosed ($20 per year).
                                                                           Signed_______________________________

(Print and mail completed application to Mrs. Sandy Marshall, New Membership Chair, Washington Poodle Club, 14400 Marine Drive, Silver Spring, MD 20905)


APPROVED for membership on__________________,20____


                                       BOARD OF GOVERNORS

President_____________________________    1st Vice President______________________

Corresponding Sec_____________________    2nd Vice President______________________


Treasurer______________________________ Recording Sec_________________________


Member at Large________________________ Member at Large_______________________


Member at Large_______________________