MIDNIGHT SUN BOXER CLUB

Membership application

Name:______

Mailing Address:______

City/State/Zip code:______

Telephone: Home:______Work:______Cell:______

E-mail:______

Membership Fees:

(circle one)

Single $20.00 Household $30.00 Junior (under 18) $10.00

Associate (non-voting) $10.00

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MEMBER INTEREST

Where do your interests lie? (circle all that apply)

Conformation Obedience Tracking Agility Obtaining judges license

Other______

Tell us about yourself and your boxer family:______

______

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Would you like to serve on any of the following club committees? (circle any of interest)

Judges Show Obedience Conformation Education Hospitality Publicity

Fun matches Sanction matches Breed health

Would you like to make a donation to the Midnight Sun Boxer Club? $______For: awards match shows general funds other______

Do you want phone, USPS and/or e-mail referrals? For: general breed info breed rescues puppies stud service general training/behavior issues conformation

Performance event training/handling Yes No

Midnight Sun Boxer Club will be amending their bylaws to allow e-mail notification of club meetings (also included would be dues notices; minutes and newsletters; general info related to our breed; ie: rescue, puppies, stud service, training/behavior issues, conformation, or performance events/training) and board members notification of board meetings.

The member or board member must sign this authorization agreeing to this method of communication. Such authorization, which is revocable, will also release the club from any liability should the notification be received late or not received by the member or board member due to circumstances beyond the club’s control.

E-mail address for all club information as stated above:

______

I agree to abide by the rules of the American Kennel Club, American Boxer Club and the Constitution & By Laws of the Midnight Sun Boxer Club and to allowing club information e-mailed to me at the above e-mail address.

Applicant Signature ______Date______

ApplicantSignature______Date______

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Sponsor Signature:______Date:______

Sponsor Signature:______Date:______

1stReading Date:______

2ndReading Date:______

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For Midnight Sun Boxer Club Membership Chairman:

Date received:______Amount:______Check #______

Cash______Received by:______