FLORIDA EAST COAST DACHSHUND CLUB

MEMBERSHIP APPLICATION

 Applicants Name:

 Address:

 City, State, Zip Code:

Telephone number:                                         Email address:

 

If applicable, additional Household Member applying:

 Occupation:

 Own Dachshunds?:                    Yes                 No

 

How many litters do you breed per year?

 How many litters have you bred in the last five years?

 Other Club Affiliations:

 

How many years have you been involved with dogs or dog shows?

 What areas would you be willing to serve or assist?

 How did you learn of the club?

 

You must attend two meetings before being elected to membership.  You must also have two club sponsors; please list two members and have them sign below.  Thanks for your interest in the Florida East Coast DachshundClub.  Please return or bring this application with your dues payable to FECDC to:

Jean Underwood, Secretary, 6543 SW 77^th Terrace, Miami, Florida 3143

Sponsor’s name:_______________________

Sponsor’s signature:___________________

Sponsor’s name:___________________________

Sponsor’s Signature:_______________________

Applicant’s Signature:__________________ 

If applicable,Other household signature:___________________

 Dues:  $15.00 per year individual member, $25.00 household membership.

 R6/07