Membership Application

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Executive & Membership List | Mission Statement | Membership Application

Please print clearly

Name:____________________________________________________

CKC Membership #:________________________

Street:____________________________________________________

City:________________________Prov./State:____________________

Postal Code:_________________Country:______________________

Phone #:______________________E-Mail:______________________

Web page:________________________________________________

If applying for Junior membership (under 18) please provide birth date

including year: Date of Birth: M:____D____Y_____

Type of membership applying for: Please circle

Domestic - $25.00 Junior (under 18) - $10.00

Foreign - $30.00 Patron - $100.00

Areas of Activities

Conformation: yes/no, Obedience: yes/no, Agility: yes/no

Pet Therapy: yes/no, Breeder: yes/no, Pet Ownership: yes/no

Number of Skye Terriers Currently Owned

Intact Males:_________, Neutered Males:______________

Intact Females:_____________Spayed Females:_______________

Do you belong to any Breed and or All Breed Clubs: If yes, please list.

____________________________________________________________

Please circle any of the club activities you would be willing to help with:

Newsletter, Fundraising, Sanction Match, Membership, Education

Other:__________________________

Signature:__________________________Date:_____________________

Membership fees are in Canadian dollars and are for the calendar year*.

Please make cheques or money orders payable to:

Skye Canada, c/o Sylvia Shaw, 267 Allen's Side Road, Sault Ste. Marie,

Ontario, Canada, P6C 5P8

*Membership fees are for the 2007 calendar year. Only Canadian residents may vote.

Membership includes receipt of quarterly newsletter.