Pinelands Retriever Club of
Application for Year _____________ Check One: _____Individual Membership - $25.00 The objectives of the Club are the
following:
All applicants for membership must
agree to abide by the Constitution and By-Laws of the Club and the rules of
the American Kennel Club. For new members, this application shall carry the
endorsement of two members in good standing with the club. Your application
will be filed and read at the first regular club meeting following receipt,
at which time it shall be voted upon and require the affirmative votes of 2/3
of the members present in order to be elected to membership. I have read the above statement and
hereby make application to the Pinelands Retriever Club of Signature:________________________________________________ Date:________________ New Application:_____________Renewal:______________ For family memberships, please include
all participating members 18 years & older Please print
name(s):___________________________________________________
___________________________________________________
Address:___________________________________________________ City: Phone #:_____________________________
Email:___________________________ Occupation:___________________________________________________________ Mail Completed Application with appropriate fees to: Karen Deman www.pinelandsretrieverclub.org
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