DANVILLE ILLINOIS KENNEL CLUB
APPLICATION FOR MEMBERSHIP
Date of Application:___________________________

Name:________________________________________________________________________________

Address:______________________________________________________________________________

Phone:_____________________________      Occupation:_____________________________________

Breed of dog(s) Owned:_________________________________________________________________
                                                             
                                                       ********************

1. How long have you owned pure-bred dogs?_______________________________________________

2. How many dogs do you own?_________ What degrees/titles have you earned?__________________

3. Will you (and husband and/or wife) be willing to participate in activities of the Kennel Club,
such as meetings, dog shows, fun matches, etc. ?____________________________________________

4. Have you in the past or are you currently a member in any othe Kennel Club?____________________

If so, name of Kennel Club?______________________________________________________________

Committees served on?__________________________________________________________________

Were you or are you an officer or committee chairperson?_____________________________________

After having read the
CODE OF ETHICS and agreeing to follow these as a guideline, I hereby submit my application for membership in the Danville Illinois Kennel Club.

                                                                       ____________________________________________
                                                                       Signature of applicant

                                                                       ____________________________________________
                                                                       Signature of co-applicant

Committee list:  All-breed dog shows; match; programs; meetings & education; auditing;
                        nominating; trophy; judges; publicity & membership; ways & means.

On what committee would you like to serve?________________________________________________


Annual dues:      $10.00 single;   $15.00 double;   $15.00 application fee
                        (One years dues and application fee to accompany application)

Please print and bring completed application and signed code of ethics form to our next meeting.
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