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.)
AGREEMENT:
I
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_______________________