Membership Application
[PLEASE PRINT OR TYPE]
LAST NAME_____________________________ FIRST NAME________________________________
SPOUSE________________________________ CHILDREN________________ ________________
| __________________ ________________ |
| __________________ ________________ |
ADDRESS______________________________________________________________________
CITY ___________________STATE __________ZIP
____________PHONE_________________
EMAIL ADDRESS_________________________OCCUPATION_____________________________
| NAME OF MALAMUTES PRESENTLY OWNED | YOUR INTEREST CONCERNING MALAMUTES | |
| __________________________________ | ____Conformation Showing | ____Breeder |
| __________________________________ | ____Pet Owner | ____Obedience |
| __________________________________ | ____Sledding/Working | ____Weight Pulling |
KENNEL NAME IF ANY __________________________________ CODING_______________________________
Offices held in ANY past or present club organization____________________________________________
Special Talents or interests which would be helpful in serving this club___________________________
____________________________________________________________________________________________
Are you will to be an ACTIVE MEMBER of this club? ______Are there any special capacities in which you would like to serve? (List them)____________________________________________________________
Suggestions for club programs or activities_____________________________________________________
SIGNED______________________________________________________ DATE___________________________
ALASKAN MALAMUTE
Club of
Wisconsin
| KENNEL CODING | |
P |
- Puppies for Sale |