Great Lakes Bullmastiff Association

Great Lakes Bullmastiff Association

Membership Application

I hereby apply for membership to the Great Lakes Bullmastiff Association. I certify that I am in good standing with the American Kennel Club. If accepted, I agree to abide by the Constitution and By-Laws of the Great Lakes Bullmastiff Association, and the American Kennel Club. I enclose my check in the amount of $________, being my subscription for the year______In the event that my application is rejected, I understand that this payment will be returned to me.

Name______________________Signature:______________________Occupation___________

Address:__________________________City___________________State_______Zip________

Home Phone______________Work Phone_____________Mobile_______________________

E-Mail Address__________________________________

How many Bullmastiffs do you own now?_____Your Kennel Name_______________________

Breeder(s) of your dog(s)____________________________________

Do you exhibit?_________

Do you Breed?_______if yes, approx. how many litters/year?______

Do you use the AKC Limited Registration?______

Do you require spay/neuter of pet puppies/adults?___________

*Sponsoring Member:_________________________Signature__________________________

Printed Name

*Sponsoring Member:_________________________Signature__________________________

Printed Name

**Applications cannot be processed until these signatures are secured. If you have any questions about how you can obtain these signatures, contact the membership chairperson.

______________________________________________________________________________________________________

DUES: Please send payment along with your application for membership c/o Kristen Wetzel, 6747 Tomer Road, Clayton, MI 49235. Checks should be made out to the Great Lakes Bullmastiff Association.

Annual Subscription: Couple = $20.00 Individual = $10.00
Jr. Member (under 18) = No Fee for Juniors - Juniors have no voting privileges

All membership dues are to be renewed on April 1 st of every year - no matter when you joined.

---------------------------------------------------------------------------------------------------------------------

For club use only-do not write in this space!!!!

Date Application Received:_______________Accepted:____________Denied:______________

Check number:_____________Amount Received_____________