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Membership Application

 

NEW ( )    RENEWAL ( )

DUES: $15 SINGLE   $20 FAMILY

 

DATE_______________________________

NAME_______________________________________________

ADDRESS____________________________________________

CITY_______________________STATE______ZIP__________

PHONE_____________________FAX______________________

E-MAIL______________________________________________

 

How did you learn about us?_______________________________

____________________________________________________________________

Please print clearly. Membership Application must include a check payable to Gold Coast Terrier Network.   Membership privileges include the Network News, published quarterly, and a discount on entry fees at certain Network events. These fees are necessary to defray costs of printing and mailing. All memberships must be renewed for the coming year by December 31. Applications for new members during the last three months will automatically be renewed for the coming year. Membership may be terminated, suspended or refused by the GCTN Board of Directors for any conduct considered likely to prejudice or damage the image or interfere with the efficient running of the Network, or compromise the Breed Standard in any way.

MS Word Download form in Word format

Print and mail to:
Gold Coast Terrier Network
10391 SE 134th Ct.
Dunnellon, FL 34431

 

 

 

 

 

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Copyright 2001
Gold Coast Terrier Network