Click here for a printable Membership Application Form:
MASCAN MEMBERSHIP
APPLICATION
Name(s):___________________________________________________________________
Address:____________________________________________________________________
City:___________________________________________Province/State:________________
Country:________________________
Postal Code:_________________________________
Email:_______________________________________________________________
Phone #: |
Type
of Membership:
Please Check one:
New Member______ Membership
Renewal_______
________Single
($10.00/year, 1 vote Canadian resident over 18yrs)
________Family
Membership ($15.00/year, 2 votes Canadian residents over 18yrs)
________Add
$20 for Kennel Listing on MASCAN web site/blog.
________ Check here if this membership is part of a 'Breeder's Litter Package' ($15.00 per litter.)
(Breeder
Members can fill out our Breeder Information Page 2. All information is kept strictly
confidential and is optional, for membership registry only)
Payment
is in Canadian Funds and can be made by: (please check your method of
payment)
_________Cheque
(made out to Carole Walker and send to mailing address below)
_________Email
Transfer (canadaminiamericanshepherds@gmail.com) _________Cash
*US FUND MUST BE SENT VIA MONEY ORDER OR ETRANSFER*
Membership
forms may be scanned and emailed to canadaminiamericanshepherds@gmail.com
or mailed to: Carole Walker 4484 9th Avenue, Port Alberni, BC V9Y 4V5 |
Special
Interests:
______Agility ______Obedience ______Rally-O _____Fly Ball ______Tracking
______Conformation ______Herding ______Scent Detection _____Disc/Freestyle
Are
you interested in working on club committees?
________Yes ________No
|
As a member
of MASCAN, I (we) agree to abide by the MASCAN Code of Ethics & Bylaws.
Signed:_______________________________________ Date:___________________________
Signed:_______________________________________ Date:___________________________
Note: If you are a "Breeder" member, please also click here and send in this form along with the above membership from. BREEDER INFORMATION FORM
Note: If you are a "Breeder" member, please also click here and send in this form along with the above membership from. BREEDER INFORMATION FORM
