Application

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Lake Shore Greater Swiss Mountain Dog Club, Inc.

Application for Membership

Associate $15/year

Regular Membership* $20/year Household* $25/year

*Requires ownership of GSMD and residence in the Club Territory

NAME ____________________________________________ DATE___________________

ADDRESS __________________________________________________________________

CITY _______________________________ STATE _________ ZIP________________

PHONE NUMBER ________________________ E-MAIL ___________________________

I (we) agree to abide by the Constitution and Bylaws of the Lake Shore Greater Swiss Mountain Dog Club, Inc. and the rules of the American Kennel Club.

SIGNATURE(S) _______________________________________________________________________________

_______________________________________________________________________________

Two sponsors who are currently members in good standing in the Lake Shore Greater Swiss Mountain Dog Club, Inc. must support and endorse all Regular and Household membership applications. Regular and Household Membership is contingent upon approval by the Voting Membership of the Club. Applicants for Associate Membership need not meet these criteria. Please send a check payable to the Lake Shore Greater Swiss Mountain Dog Club, Inc. along with this completed application form to: Membership Chair; 39352 Joanna Drive, Kingston, IL 60145.

SPONSORS

SIGNATURES ____________________________________________________________

PHONE NUMBERS _______________________

INTERESTS Please check all areas that apply

Interest Area	Previously	Currently	Future
Breeding
Conformation
Obedience
Agility
Herding
Carting/Freight
Schutzhund
Tracking
Weight Pulling
Search & Rescue
Therapy
Pack Dog
Other (Specify)

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