Pennsylvania Sled Dog Club, Inc. Membership Form

Eligible persons and groups will become members upon receipt of dues. Dues are

payable on or before June 1st of each year. If dues remain unpaid by July 1st,

membership shall lapse. Dues received at any time of the year shall be applied to the

current membership year, except dues received during May, which may be applied

toward the following membership year.

Choose Membership Category: ______Renewal ______New Member

Choose Membership Type:

____Senior Membership – Open to persons 16 years of age or older. Member may cast one vote, hold office, participate in club functions and receive PSDC publications. Dues

$20.00

____Associate Membership – Open to persons 16 or older and to organized groups.

Members may not vote nor hold office. Participation in club function with non-member

status. Member will receive club publication. Dues $18.00

____Junior Membership – Open to person 18 years of age or younger. Member may not

vote. Member may participate in club functions. Dues $6.00

____Family Membership – Open to family groups. Maximum of two votes per family

group. Members may hold office and participate in club functions. One copy of PSDC

publication will be provided. Dues $25.00

First Name: ______Last Name:______

Address: ______

City: ______State:______Zip: ______Telephone: ______

E-mail Address:______

Name(s) of Family Members: ______

Kennel Name: ______# Dogs in Kennel: ______

Breed(s) of Dogs:______# Years in Dog Powered Sports: ______

Any other dog related activities: ______

______

May we share your e-mail, phone, city & state with other members? ___Yes___No

Choose newsletter format: ____Paper _____E-mail Softcopy _____No newsletter

I agree to abide by the regulations of the Pennsylvania Sled Dog Club Inc. as set forth by it’s officials, Board of Directors and the By-Laws.

Signature:______Date: ______

Mail to:

Pennsylvania Sled Dog Club, Inc.

c/o Jessica Borman, Treasurer

2231 Joseph Maurone Drive

Atco, NJ 08004