AMDCA Membership Application or Renewal

January 1, 2015 December 31, 2015

 

Yes, I want to renew my membership for 2015. Here is my information.

 

Name:

 

Address: _________________________

 

 

Phone Number:

 

email address: ______________________________

 

AMDCA wants to enable communication between members. We respect your privacy.

Please check the box(es) if you grant permission to share your contact information with other AMDCA members.

Okay to share Name and Address with other AMDCA members:

 

Okay to share Email with other AMDCA members:

 

About Appenzeller(s) in my household (name, age, gender):

 

____________________________________________________________

 

____________________________________________________________

 

 

I want to do more! I am most interested in (check all that apply):

Answering e-mail inquiries Breed Registry

Member communications Special Events

Club governance Rescue

Website Other

 

Please return form with 2015 dues payment (payable to AMDCA) to:

Malena Brisbois, 7469 Greenwich Rd, Nokesville VA 20181 USA.

 

U.S. and Canadian residents dues are $US 25.00 individual membership, or $30 family membership. Other international addresses, dues are $US 25.00.

 

Breeders, please note! AMDCA is a Code of Ethics breed club. The Code of Ethics is found on www.appenzeller.org. Please contact the club with any questions.

 

THANK YOU FOR YOUR SUPPORT OF AMDCA!