| Date of application_______________
Merrimack Valley Kennel Club, Inc. Membership Application Note: Please PRINT all information Clearly. If more space is needed for any item, list on a separate sheet of paper. Name: _________________________________________________________________________ Address: ________________________________________________________________________ Telephone: ___________________________________ Fax: _______________________________ E-mail: __________________________________________________________________________ Kennel Name: ______________________________________________________________________ Web Site: __________________________________________________________________________ Breed(s): ___________________________________________________________________________ Occupation:_____________________________________________________________________ 1)Adult Membership is open to persons 18 years or older who are in GOOD standing with the American Kennel Club. Do you meet both of these criteria? ( )Yes ( )No 2) The MVKC does not approve the sale of puppies for wholesale. Do you meet this criteria? ( )Yes ( )No Do you breed dogs? ____ Show dogs in Breed? _____ In OB? _____ Licensed AKC Judge? _____ Licensed Handler? _____ what interest brought you to this club?____________________________________________ ___________________________________________________________________________ List other dog club activities and indicate present or past: Club Office Held Committee Position ____________________ ____________________ ________________________ ____________________ ____________________ ________________________ ____________________ ____________________ ________________________ List MVKC Functions and Meetings and dates that you have participated in/or attended. 1st ____________________________________________________________________ 2nd ____________________________________________________________________ 3rd ____________________________________________________________________ Only 1 or more meetings are required. But more are recommended. We love to see you at special events, meetings and helping out. And we like for you to know more about our club and what we stand for. IMPORTANT: (1) Any other information that you feel is pertinent to your application for membership in the MVKC. ________________________________________________________________________________ (2) Why you would like to be considered for Membership to the Merrimack Valley Kennel Club INC. ________________________________________________________________________________ (3) Have you or a spouse ever been Suspended by AKC and/or been Fined by AKC and/or Have you ever had any Disciplinary Action against you or a Spouse ? ___________________________________________________________________________________ ___________________________________________________________________________________ If so, You MUST State the date and circumstances. __________________________________________________________________________________ (4) Have you been reinstated? __________________Date of reinstatement. _______________________ (5) Have you ever applied for membership to this club in the past? (Yes) (No) What were the Circumstances? ___________________________________________________________ Name of other members other than your sponsor with whom you are acquainted? __________________ _________________________ _____________________________ ____________________________ Dues: Adult membership: $10.00 per year plus $2 initiation fee. Junior membership: $1.50 per year Dues are to be paid when application submitted for membership IMPORTANT: An application for adult membership shall be required to attend two meetings prior to his/her applying for membership in the Merrimack Valley Kennel Club, Inc. You need: to have 2 sponsors (already club members) sign the application. And you need to attend at least 2 club activities and meetings. Then your application must be read at 2 membership meetings and 2 Board member Meetings. The Intro letter must be signed and attached to this application; Because we feel you should know something about the club you are interested in joining. If accepted as a member of the Merrimack Valley Kennel Club, Inc., I agree to abide by the constitution and by-laws of the club and the rules and regulations of the American Kennel Club. Should this application be rejected in whole or in part, I understand the club is not obligated to make known the reason(s) to me. I hereby make application for adult / junior membership. Signature: __________________________________________________________________________ Parent Signature if under 18 years of age: _________________________________________________ Sponsor: __________________________________________________________________________ Sponsor: __________________________________________________________________________ (Both sponsors must be members in good standing of the Merrimack Valley Kennel Club, Inc.) Each applicant; even if a family membership MUST fill out there own application.one application per person. Remember a club is only as good as its members. It is a fact that the same members over and over volunteer to chair committees, run events and hold office. We�d like to change that fact. Join only if you intend to participate. Volunteer activity is the life of the club. The Merrimack Valley Kennel Club is a Working Membership Club. Each year the MVKC hosts several events. Without active members, these events could not take place. All members are asked to commit a minimum of 10 working hours to club related activities, events and projects. If our club needs help on an occasional assignment involving the activities listed below, and if your current schedule permits you to offer such help, please check the activities you would be willing to offer the club and indicate those which you have had sufficient experience to think yourself as skilled, mark all such items: Programs _____ Photography _____ Publicity _____ Photocopying _____ Taking Entries _____ Refreshments _____ Trophies _____ Membership _____ Advertising _____ Hospitality _____ Typing _____ Auditing _____ Drawing Posters _____ Printing _____ Stewarding _____ Computer _____ Other: ____________________________________ HOBBIES:__________________________________________________________________ Each applicant; even if a family membership MUST fill out there own application. Application must be completely filled out and returned along with 1 years dues To the club Secretary. After you have attended at least 2 meetings. Please Note; " Members joining from July 1st through Dec 31 will pay for a full year; members joining from Jan 1 hrough June 30 will pay dues for half a year. (MVKC working rule) Club Use Only: Secretary�s Notes: ___________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Board member comments: _____________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ Comments the Board must bring to the membership before the voting process: ___________________ ___________________________________________________________________________________ __________________________________________________________________________________ ____________________________________________________________________________________ Dues Paid __________________ Amount __________________ cash/check Type of membership; _________________________________________________________ _ Date Application & Dues Received_______________________________ Application Presented to the membership 1st_________________ 2nd ___________________ Application Presented to the board 1st___________________ 2nd ______________________ Voted on by membership: _______________________________________________________ Interview date: __________________________ Secretary�s Signature: ___________________ This application was approved & accepted April 2005 |
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