/ EVERGREEN GOLDEN RETRIEVER CLUB
MEMBERSHIP RENEWAL
Each EGRC member must complete and sign a membership renewal form indicating the type of membership desired. PAYMENT OF DUES MUST ACCOMPANY THIS RENEWAL FORM. Membership renewals are due by January 15th. A $3.50 late fee per member will be assessed on late renewals. Membership lapses if not renewed by March 1st. Make checks payable to EGRC and mail to our Membership Chairperson:
Bev Gettling
32567 NE 46th Place
Carnation, WA 98014
Email:

Name:

FirstM.I.Last

Address:

StreetCityStateZip

Home Phone: E-Mail:

Kennel Name:

VOTING MEMBERSHIP: $20.00 per person per year, for those 18 years of age and over. A Voting member is accorded the right to vote and hold elective office. Voting members make up the active workers within the club and must have attended at least two (2) regular club meetings and have provided at least one (1) service to the club. All members selecting to be Voting members for the year should indicate, in the volunteer section below, the areas in which they wish to volunteer their time. Each member must indicate meetings attended and service provided. Voting members may receive annual awards and compete for perpetual trophies. Those not willing or able to actively participate or who haven’t met the attendance/service requirements should select a Non-Voting Membership.

NON-VOTING MEMBERSHIP: $20.00 per person per year, for those 18 years of age and over. A Non-voting membership is for those individuals who wish to be affiliated with EGRC but will not be actively attending and participating in many meetings and functions during the year. A Non-voting member does not have the right to vote or hold elective office. The purpose of this is so an individual may maintain a membership while not impacting the quorum required for all voted decisions. A Non-voting member may receive annual awards and compete for perpetual trophies.

JUNIOR MEMBERSHIP: $10.00 per person per year, for those under 18 years of age. Junior members are entitled to participate in club functions and events, but are not granted the right to vote or hold elective office. A Junior member may receive annual awards and compete for perpetual trophies. (Note: children under 18 years of age of Voting or Non-voting members are automatically granted, if desired, without payment of dues, a Junior membership. Please list the Junior names below. The Junior members do not need to complete their own renewal application.)

I hereby agree to abide by the rules and regulations of the American Kennel Club and its member club, the Golden Retriever Club of America. I further agree to abide by the Constitution, By-Laws, Code of Ethics and all the rules and regulations enacted by the Evergreen Golden Retriever Club. (NOTE: BOTH applicants must sign, if applicable).

DateApplicant’s Signature

DateApplicant’s Signature
Junior(s) included with this membership:

Please sign up for what you’d like to do, even if someone else is already doing that job. Very often a chairman is just continuing because there is no one else volunteering. If someone else is appointed for the year, you may assist and then be appointed in the next year. Note with a “C” if you’d like to chair, “W” if you’d like to work.

___ Agility___ Health Clinic___ Public Education

___ Artist___ Historian___ Puppy Referral

___ Awards

___ Awards Banquet ___ Board of Directors ___ Breeders List ___ Budget Committee ___ Donation Committee ___ Fund Raising

___ General Worker

___ Hospitality___ Rally

___ Hunt Test___ Rescue

___ Membership___ Specialty

___ Newsletter___ Sunshine Committee

___ Obedience___ Tracking

___ Photographer___ WC/WCX

___ Programs

___ Property

Other (Please specify): ______

Meetings attended in previous year:

Services provided in previous year:


Do you want to be on the Yahoo list?Yes No____

Do you have any specific topics you would like addressed at a general meeting? If so, please list.

Dues and Donations

Amount

Type of Membership ______$______

Type of Membership for 2nd adult ______$______

Donation to Evergreen Golden Retriever Rescue. This will be used $______

to assist rescue work in our area for Golden Retrievers only.

Add $3.50 PER MEMBER penalty if dues are not postmarked $______

by January 15th.

Total payment$______

(Make your check payable to EGRC for this amount and send with this completed form).