ALASKAN MALAMUTE
CLUB OF WISCONSIN, INC.

Membership Renewal Form
2008-2009 Fiscal Year

Name:______________________________________________________ /_______________________________
                     Last                                                First                                                                            Spouse

Address:_____________________________________________________________________________________

City:__________________________________________________ State: ____________ZipCode:____________

Phone:________________________________ email:________________________________________________

MEMBERSHIP TYPE

SENIOR MEMBERSHIP
FAMILY MEMBERSHIP		$15.00
$20.00		   JUNIOR MEMBERSHIP
ASSOCIATE MEMBERSHIP		$10.00
$14.00

(NOTE: If you joined the club after January 1, 2008 your dues are not due. However we would appreciate it if you would fill out the form for our records.)

Family Information
Children under 18 living at home

Name _________________________________________Age ___________B/G

Name _________________________________________Age ___________B/G

Name _________________________________________Age ___________B/G

Canine Information:
KennelName:_____________________________________________________________________________________
Number of Dogs:______________________________________________________________________________
Dogs names and ages:__________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________

What do you enjoy doing with your dogs?___________________________________________________________
________________________________________________________________________________________________
What type of information would you like to see in the Newsletter?_______________________________________
____________________________________________________________________________________________
Where and how can you help this club?____________________________________________________________
____________________________________________________________________________________________
What public events are you willing to participate in?__________________________________________________
_____________________________________________________________________________________________
What would you like to do this year as a Member of this club?__________________________________________
_____________________________________________________________________________________________

Please complete form and return with your dues. Make checks payable to AMCW, Inc. Remit your dues before March 31, 2008 to:

AMCW, Inc. 5810 S. 124th Street Hales Corners, WI 53130