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| HARMONY BAY CHINESE SHAR-PEI CLUB PO BOX 70144 Vancouver, Washington 98665 Membership Application Individual Membership: $20.00 Family Membership (two adults): $25.00 Associate Membership (newsletter only): $15.00 Junior Membership (10-17 years of age): $10.00 (Membership year is July 1st through June 30th) Name(s):______________________________________________________________________ Address:__________________________________________________________________________ City/State/Zip:________________________________________________________________________ Phone: _________________Fax: _______________Email:_______________________________ Occupation:___________________________ Website:_________________________________ Kennel Name: ____________________________How Many Shar-Pei Do You Own?_________ Length of time you have owned Chinese Shar-Pei:___________________________________ Are you involved with any other specialty/all-breed clubs? If so, which? ____________________________________________________________________________ Principle Interest(s): Show Breeding Pet Rescue Performance Events Juniors Judging Other ______________________ Would you be interested in volunteering for the Harmony Bay Chinese Shar-Pei Club? YES NO I (we) agree to abide by the Constitution and By-Laws of the Harmony Bay Chinese Shar-Pei Club, the American Kennel Club and the Chinese Shar-Pei Club of America. I (we) understand that application to the HBCSPC does not necessarily mean acceptance and that membership is voted upon by the members of HBCSPC. Signature_______________________________________________Date_________________ Signature_______________________________________________Date_________________ Club Sponsor____________________________________________Date_________________ Club Sponsor____________________________________________Date_________________ * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * Date Application/Dues Received: __________________ Sponsors Verified:_____________ Date Application Read to Membership:________ Date Application Voted Upon:_________ Result: _________________ Date Applicant(s) Notified:_______________________ |
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