Blue
Grass Parson Russell Terrier Club
Membership
Application
NAME_____________________________________________________________________________
ADDRESS
_________________________________________________________________________
CITY_________________________________________STATE___________ZIP__________________
PHONE________________________E-MAIL______________________________________________
OCCUPATION_______________________________________________________________________
KENNEL
NAME _____________________________________________________________________
Primary
interest(s) in dogs:
Exhibiting
Working
Agility Companion
Rescue
Obedience Breeding
Earth
Dog Other
Breeds presently
owned __________________________________________________________________
Number
of dogs presently owned __________________________________________________________
List
the Dog clubs to which you belong/have belonged and offices held and Reasons for
leaving
________________________________________________________________________________________ ________________________________________________________________________________________
________________________________________________________________________________________
Are
you presently in good standing with your Breed Club?________________________________________
I am willing to participate on a committee where my services can be
of benefit to the Club ______________ I
agree to abide by the Constitution and By-laws of BGPRTC, Inc.__________________________________ Signature_______________________________________________________
Date ____________________
Dues:
$ 25.00- Single __________ $30.00- Family ____________
Make
checks payable to: BGPRTC
Mail
to: Cathy Greenfield 10250 Woodbury Rd. Laingsburg, Mi 48848
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