MONTGOMERY ALABAMA DOG OBEDIENCE CLUB, INC
ANNUAL MEMBERSHIP RENEWAL FORM
MEMBER INFORMATION
APPLICATION FOR (CHECK ONE) GENERAL MEMBERSHIP (18 yrs of age or older) JUNIOR MEMBERSHIP (12-17 yrs)
NAME: HOME PHONE:
SPOUSE NAME: WORK PHONE:______
ADDRESS:CELL PHONE:______
OCCUPATION: E-MAIL:______
NUMBER OF DOGS OWNED:
BREED(S) OF DOG(S) owned: ______
Revised October 2014
Revised October 2014
I HEREBY AGREE TO CONTINUE TO ABIDE BY THE CONSTITUTION AND BYLAWS OF THE MONTGOMERY ALABAMA DOG OBEDIENCE CLUB, INC. AND THE RULES OF THE AMERICAN KENNEL CLUB.
Signature:______Date:______
Amount Due
Annual Dues / $25.00Donation to Trophy Fund
Donation to Building Fund
Total
Add Renewal Fee if mailed after 1 Jan - $20
Total after 1 Jan
NOTE: MADOC bucks cannot be used for Annual Dues or Donations.
Please mailBOTH pages of this Application, along with a checkfor the total amount due, payable to MADOC
Please Note: The PO box number has changed from last year!
MADOC
Attention: Membership Renewal
P.O. BOX 241564
MONTGOMERY, ALABAMA 36124-1564
Renewal dues must be paid by January 1st or Membership privileges will be suspended (including the reduced class fee). A $20 renewal fee will be charged to reinstate member privileges.
Continue on next page, please
VOLUNTEER OPPORTUNITIES
MADOC is an organization of volunteers. Without our members assisting regularly, we cannot provide our services to the public. Please do not leave this section blank! Select at least one VOLUNTEER area in which to actively participate. (Memberwill be contacted if this section is missing or blank.) Assistance and on-the-job-training will be provided for each area as needed:
Instructing/Assisting inTeaching:_____Agility
Obedience
Rally
Equipment Care & Maintenance:
Agility equipment & Field
Obedience Equipment & Room / Assisting at Trials:
Agility
Obedience
Rally
Agility Trial Chair
_____ Agility Trial Secretary
Obedience Trial Chair
Obedience Trial Secretary / Other Committees:
Enrollment (maintain class rosters, fill classes, register students)
Fundraising
Hospitality
Publicity
Trophies
Other:
Revised October 2014
Revised October 2014
AREAS OF INTEREST
Please check any of the following areas you may be interested in:
Showing in:____Agility
Obedience
Rally / Participating in:
Community Events (such as Demos, Walk&Wag, Bark in the Park)
Nursing Home or Hospital Visits
Other Interests:
Secretary use only please:
Postmark DateDate Non-Volunteer Contacted
Date Email Confirmation Sent
Date Email Confirmation Rec’d
Check Number/Amount
Dues Amount
Renewal Fee
Trophy Amount
Building Fund Amount
2015 Membership Roster Updated
Revised October 2014